Robert Peter Burdman

Primary specialty

DriverTaxonomy code 172A00000X

License

H00383116 Issued in HI

Practice address

16-1412 Koloa Maoli Rd 9
Kurtistown, HI 96760

Phone

(808) 640-9939

NPI assigned

Jul 24, 2023

Last updated

Jul 24, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1184304115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967210109",
            "telephone_number": "808-640-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-1412 KOLOA MAOLI RD 9",
            "city": "KURTISTOWN",
            "state": "HI",
            "postal_code": "96760",
            "telephone_number": "808-640-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDMAN",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "HI",
            "license": "H00383116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Driver in Kurtistown, HI
• Providers in Kurtistown, HI by specialty
• Driver in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.