Active NPI
Burton J Kushner, MD
- Ophthalmology Physician
- Madison, WI
National Provider Identifier
1205802725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 17307
- Practice address
- 3416 Blackhawk Dr
Madison, WI 53705-1404 - Phone
- (608) 238-7733
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 17307 | WI | Primary |
Addresses
Primary practice location
3416 Blackhawk Dr
Madison, WI 53705-1404
Mailing address
3416 Blackhawk Dr
Madison, WI 53705-1404
Phone (608) 238-7733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17307 | WI | MD | Ophthalmology Physician |
Interoperability endpoints
- bkushner2110@direct.uwhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1205802725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 BLACKHAWK DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537051404",
"telephone_number": "608-238-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 BLACKHAWK DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537051404",
"telephone_number": "608-238-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSHNER",
"first_name": "BURTON",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "17307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.