Dean Burgess, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

2016004988 Issued in MO

Practice address

2201 S. Brentwood Blvd
St. Louis, MO 63144-1870

Phone

(314) 367-1181

Fax

(314) 962-3462

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Retina Consultants, LLC

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1700175395
  NPD
• Retina & Vitreous Consultants Inc

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1255452603
  NPD (past)
• The Retina Institute LLC

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1407858673
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1194721134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S. BRENTWOOD BLVD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631441870",
            "telephone_number": "314-367-1181",
            "fax_number": "314-962-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S. BRENTWOOD BLVD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631441870",
            "telephone_number": "314-367-1181",
            "fax_number": "314-962-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R5138",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2016004988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050267012",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200140606",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa R Burgard, F.N.P.
• Micah Burgdorf
• Katherine Anne Burgener, MD
• Angela Burgess
• Ashley Burgess
• Megan Maupin Burgess, PT
• Meghan Kathleen Burgess, PA
• Stephanie Burgess, LPN
• Sanita Burgic, AGNP
• Sierra Nicole Burgin, M.D.

• Retina Specialist (Ophthalmology) Physician in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Retina Specialist (Ophthalmology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.