Individual provider Active NPI

Jeffrey Scott Burbidge, M.D.

  • Anesthesiology Physician
  • Eglin Afb, FL
National Provider Identifier
1285898353
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M10199 Issued in ID
Practice address
307 Boatner Rd
Suite 114
Eglin Afb, FL 32542-1391
Phone
(850) 883-9506
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M10199 ID Primary

Addresses

Primary practice location

307 Boatner Rd
Suite 114
Eglin Afb, FL 32542-1391

Mailing address

307 Boatner Rd
Suite 114
Eglin Afb, FL 32542-1391
Phone (850) 883-9506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151110001779 FL Practitioner - Anesthesiology 6608186234 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Destin Anesthesia, LLCGroup PAC ID 9830158500, 20 clinicians
Gulf-to-Bay Anesthesiology Associates LLCGroup PAC ID 5092628156, 330 clinicians

Practice addresses (Care Compare)

1034 Mar Walt Dr
Suite 300
Fort Walton Beach, FL 32547-6645
Phone (850) 315-9385

1225 Airport Rd
Destin, FL 32541-2909
Phone 8506507606103

611 Zeagler Dr
Palatka, FL 32177-3810
Phone (386) 328-5711

Hospital & facility affiliations

  • HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M10199IDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Destin Anesthesia, LLC Anesthesiology CurrentSince Aug 30, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Feb 8, 2025 Accepting new patients
Miami Anesthesia Services LLC Anesthesiology CurrentSince Oct 14, 2024 Accepting new patients
St Lucie Anesthesia Associates LLC Anesthesiology Current Accepting new patients
St. Lucie Anesthesia Associates, LLC Anesthesiology CurrentSince Oct 1, 2015 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
St. Lucie Anesthesia Associates, LLC Anesthesiology CurrentSince Oct 1, 2015 Accepting new patients
Fleming Island Anesthesia LLC Anesthesiology CurrentSince Apr 29, 2024 Accepting new patients
Twin Cities Anesthesia Associates, PL Anesthesiology CurrentSince Aug 15, 2015 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Ams National LLC Anesthesiology CurrentSince Aug 16, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Feb 8, 2025 Accepting new patients
Bayshore Anesthesia P a Anesthesiology Past Accepting new patients

Locations

24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

1225 Airport Rd
Destin, FL 32541
Phone (850) 650-7606

4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050

1034 Mar Walt Dr
Unit 300
Ft Walton Bch, FL 32547
Phone (850) 315-9363

306 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 458-1689

201 W Guava St
Lady Lake, FL 32159
Phone (352) 391-5875

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

2190 Highway 85 N
Niceville, FL 32578
Phone (850) 678-4131

15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200

1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1285898353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD",
            "address_2": "SUITE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421391",
            "telephone_number": "850-883-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD",
            "address_2": "SUITE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421391",
            "telephone_number": "850-883-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBIDGE",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ID",
            "license": "M10199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eglin Afb, FL

Sources for this page

Verify at the official NPI Registry.