Individual provider Active NPI

Mark Burger

  • Psychiatry Physician
  • Montgomery, AL
National Provider Identifier
1285167510
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO3253 Issued in NV
Practice address
201 Monroe St Ste 2260
Montgomery, AL 36104-3735
Phone
(800) 729-0069
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO3253 NV Primary
Psychiatry Physician 2084P0800X DO.1883 AL

Addresses

Primary practice location

201 Monroe St Ste 2260
Montgomery, AL 36104-3735

Mailing address

201 Monroe St Ste 2260
Montgomery, AL 36104-3735

Other practice location 1

2090 Columbiana Rd Ste 4000
Vestavia Hills, AL 35216-2158
Phone (205) 536-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210709001400 AL Practitioner - Psychiatry 4587931357 Reassigns benefits to 1 organization
I20230911002627 NV Practitioner - Psychiatry 4587931357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of NevadaGroup PAC ID 9234022153, 57 clinicians

Practice addresses (Care Compare)

1909 S Jones Blvd
Las Vegas, NV 89146-1260
Phone (702) 486-6112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1883ALMDProfessional Counselor
DO.1883ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Feb 6, 2023 Accepting new patients
State of Nevada Current Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 1, 2021 Accepting new patients
Southern Nevada Adult Mental Health CurrentSince Feb 6, 2023 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

4150 Technology Way
Ste 100
Carson City, NV 89706

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400

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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1285167510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MONROE ST STE 2260",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MONROE ST STE 2260",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361043735",
            "telephone_number": "800-729-0069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2090 Columbiana Rd Ste 4000",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352162158",
            "country_code": "US",
            "telephone_number": "205-536-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGER",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO3253",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "DO.1883",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.