Charles E Burda, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036089236 Issued in IL

Practice address

376 Summit Avenue
1 S. Court D, Unit 5B
Oakbrook Terrace, IL 60181-3985

Phone

(630) 629-2700

Fax

(630) 629-6558

NPI assigned

Sep 21, 2006

Last updated

Feb 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1144329764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OGDEN AVE",
            "address_2": "SUITE 1",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213179",
            "telephone_number": "630-986-0599",
            "fax_number": "630-986-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 SUMMIT AVENUE",
            "address_2": "1 S. COURT D, UNIT 5B",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813985",
            "telephone_number": "630-629-2700",
            "fax_number": "630-629-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDA",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036089236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02232743",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marijosephe Pierre Bradford, LCPC
• Katherine Bratkiv, PA-C
• Jennifer Boothe Brobst, PHD
• Nicole Brod, D.C.
• Judith Brown
• Cindy Burton
• Shannon Marie Callahan, LPC
• Paul S Callaway, PT
• Cardiac Imaging Inc
• Cardio Medical Center SC

• Psychiatry Physician in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.