NPIMap

Individual provider Active NPI

Jan Hendrik Burger, MD

  • Family Medicine Physician
  • Summerville, SC
National Provider Identifier
1215001979
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25788 Issued in SC
Practice address
102 Harth PL
Summerville, SC 29485-8107
Phone
(843) 875-7901
Fax
(843) 832-2038
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25788 SC Primary

Addresses

Primary practice location

102 Harth PL
Summerville, SC 29485-8107

Mailing address

299 Midland Pkwy # a
Summerville, SC 29485-8104
Phone (843) 875-7901

Other identifiers 1

IdentifierTypeStateIssuer
257885MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050808001082 SC Practitioner - Family Practice 6709815996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians

Practice addresses (Care Compare)

102 Harth PL
Summerville, SC 29485-8107
Phone (843) 875-7901

Hospital & facility affiliations

  • Amedisys Home Health of Charleston Home health agency, North Charleston, SC, CCN 427005
  • Interim Healthcare Home health agency, North Charleston, SC, CCN 427132
  • Medical Services of America Home Health Home health agency, Irmo, SC, CCN 427010
  • Roper-St. Francis Home Health Home health agency, Charleston, SC, CCN 427042
  • NHC Homecare - Low Country Home health agency, North Charleston, SC, CCN 427303
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors LLC Family Medicine CurrentSince Jul 5, 2023 Accepting new patients
Liberty Doctors, LLC Family Medicine CurrentSince Jul 5, 2023 Accepting new patients
Liberty Doctors LLC Past Accepting new patients
Summerville Primary Care Family Medicine PastSince Jul 1, 2013 Accepting new patients

Locations

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

102 Harth Pl
Summerville, SC 29485
Phone (843) 832-6425

Interoperability endpoints

  • Direct secure messaging: jburger@libertydoctors.ssdirect.aprima.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1215001979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 MIDLAND PKWY # A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858104",
            "telephone_number": "843-875-7901",
            "fax_number": "843-832-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HARTH PL",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858107",
            "telephone_number": "843-875-7901",
            "fax_number": "843-832-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "JAN",
        "middle_name": "HENDRIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "25788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257885",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.