Jeffrey Jean Burdick, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

168614 Issued in NY

Practice address

400 Patroon Creek Blvd
Suite 210
Albany, NY 12206-5012

Phone

(518) 459-8106

Fax

(518) 489-6441

NPI assigned

Mar 18, 2006

Last updated

Nov 6, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1356300412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PATROON CREEK BLVD",
            "address_2": "SUITE 210",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122065013",
            "telephone_number": "518-459-8106",
            "fax_number": "518-489-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PATROON CREEK BLVD",
            "address_2": "SUITE 210",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122065012",
            "telephone_number": "518-459-8106",
            "fax_number": "518-489-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDICK",
        "first_name": "JEFFREY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "168614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01128385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie Elizabeth Bunch, M.D.
• Kemp W Bundy, M.D.
• Patrick Bunk, PA-C
• Robert Buono, REGISTERED DIETITIAN
• Cheryl B Burack, M.D.
• Debra Sharon Burger, MSW
• Jena Burgner, DO
• Susan Florence Burkart-Jayez, ND
• Alyssa Burke
• Edmund J Burke, PHD

• Neurology Physician in Albany, NY
• Providers in Albany, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.