Active NPI
David D Burnsides, M.D.
- Internal Medicine Physician
- Dublin, OH
National Provider Identifier
1306820865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-04-3547
- Practice address
- 5070 Bradenton Ave
Dublin, OH 43017-3520 - Phone
- (614) 764-1777
- Fax
- (614) 764-9555
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-04-3547 | OH | Primary |
Addresses
Primary practice location
5070 Bradenton Ave
Dublin, OH 43017-3520
Mailing address
5070 Bradenton Ave
Dublin, OH 43017-3520
Phone (614) 764-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0421529 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1306820865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5070 BRADENTON AVE",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430173520",
"telephone_number": "614-764-1777",
"fax_number": "614-764-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5070 BRADENTON AVE",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430173520",
"telephone_number": "614-764-1777",
"fax_number": "614-764-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNSIDES",
"first_name": "DAVID",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-04-3547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0421529",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.