Individual provider Active NPI

David Brandon Burtis, DO

  • Behavioral Neurology & Neuropsychiatry Physician
  • Gainesville, FL
National Provider Identifier
1356504591
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
OS11821 Issued in FL
Practice address
6400 W Newberry Rd Ste 202
Gainesville, FL 32605-6611
Phone
(352) 331-5310
Fax
(352) 332-0482
NPI assigned
Jul 8, 2008
Last updated
Apr 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS11821 FL
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X OS11821 FL Primary

Addresses

Primary practice location

6400 W Newberry Rd Ste 202
Gainesville, FL 32605-6611

Mailing address

2405 SE 17TH St Ste 201
Ocala, FL 34471-9190
Phone (352) 690-2171

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
I20130314000145 FL Practitioner - Neurology 5395980601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgical Associates LLCGroup PAC ID 4082634407, 52 clinicians

Practice addresses (Care Compare)

6400 W Newberry Rd
Suite 202
Gainesville, FL 32605-6611
Phone (352) 331-3583

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
81.9
Promoting interoperability
99
Improvement activities
40
Cost
75.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11821FLMDBehavioral Neurology & Neuropsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Health Surgical Group LLC Neurology CurrentSince May 5, 2018 Accepting new patients
Quality Neurology LLC Neurology CurrentSince Mar 1, 2020 Accepting new patients
North Florida Surgical Associates LLC CurrentSince Feb 1, 2021 Accepting new patients

Locations

1121 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 331-6777

1121 NW 64th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-6777

6400 W Newberry Rd
Ste 202
Gainesville, FL 32605
Phone (352) 331-5310

6800 NW 9th Blvd
Ste 2
Gainesville, FL 32605
Phone (352) 332-7990

4600 SW 46th Ct
Ste 250
Ocala, FL 34474
Phone (352) 291-2400

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: david.burtis@hca5.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFGACD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1356504591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SE 17TH ST STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719190",
            "telephone_number": "352-690-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD STE 202",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056611",
            "telephone_number": "352-331-5310",
            "fax_number": "352-332-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTIS",
        "first_name": "DAVID",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS11821",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "FL",
            "license": "OS11821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.