Individual provider Active NPI

Bryant Parker Burkett, D.D.S.

  • General Practice Dentistry
  • Evansville, IN
National Provider Identifier
1245619477
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12012286A Issued in IN
Practice address
431 Main St
Evansville, IN 47708-1501
Phone
(812) 423-3426
NPI assigned
May 20, 2015
Last updated
May 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12012286A IN Primary

Addresses

Primary practice location

431 Main St
Evansville, IN 47708-1501

Mailing address

431 Main St
Evansville, IN 47708-1501
Phone (812) 423-3426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422001976 IN Order and Referring Only - DentistPractitioner - Dentist 5496054579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012286AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bryant P. Burkett DDS, LLC Current Accepting new patients
Bryant P. Burkett DDS, LLC Current Accepting new patients
Evansville Main Street Family Dental LLC General Practice Past Accepting new patients
Abh Dental Services LLC PastSince Apr 13, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1245619477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 MAIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081501",
            "telephone_number": "812-423-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MAIN ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081501",
            "telephone_number": "812-423-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "BRYANT",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012286A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.