Burgess Health Associates, LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

N/A

Legal business name

BURGESS HEALTH ASSOCIATES, LLC

Doing business as

HealthTrac

Practice address

460 Smith St
Middletown, CT 06457-1594

Phone

(860) 632-8000

Fax

(860) 632-8008

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Alan Robinson

Title

President

Phone

(716) 614-3285

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• HealthTrac Doing business as

Locations

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1184650830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 GENESEE ST",
            "address_2": "SUITE 180",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142255550",
            "telephone_number": "716-614-3260",
            "fax_number": "716-614-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SMITH ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571594",
            "telephone_number": "860-632-8000",
            "fax_number": "860-632-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGESS HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-614-3285"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID HEALTHNET",
            "identifier": "CV4958",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID EVERCARE",
            "identifier": "16-01778",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "916152",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID HEALTHNET",
            "identifier": "CV6643",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004011417",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthTrac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alec William Buchanan, PHD MD
• Building Connections Counseling & Wellness Group, LLC.
• Theresa Burak
• Mary Louise Burbank, RD
• Shelley Burchsted, MD
• Burgess Health Associates, LLC
• Darlene Marie Burlock, RN
• Craig Gazland Burns, MD
• Jennifer Araujo Burns, APRN
• Alimatu A Busari, APRN

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Middletown, CT
• Providers in Middletown, CT by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.