Stephen J Burst, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

172874-1205 Issued in UT

Practice address

30 N 200 W
Kanab, UT 84741-3201

Phone

(435) 644-8484

Fax

(435) 644-5811

NPI assigned

May 30, 2007

Last updated

Jul 8, 2007By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194926865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 200 W",
            "city": "KANAB",
            "state": "UT",
            "postal_code": "847413201",
            "telephone_number": "435-644-8484",
            "fax_number": "435-644-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 200 W",
            "city": "KANAB",
            "state": "UT",
            "postal_code": "847413201",
            "telephone_number": "435-644-8484",
            "fax_number": "435-644-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURST",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "172874-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08079",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Barton, DPT
• Jill Glazier Blasdell
• Elaine Bowman
• Jonathan Craig Bowman, M.D.
• Greg Burnham, LMFT
• Care Age Management (Bee Hive Homes of Kanab)
• Sharla Jo Christie, LPC, CMHC
• John Stuart Cohen, LPC
• Coral Desert Foot & Ankle PC
• Chad Cottam, DPT

• Pediatrics Physician in Kanab, UT
• Providers in Kanab, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.