Individual provider Active NPI

Steven E Burdine, MD

  • Family Medicine Physician
  • Eden, NC
National Provider Identifier
1356563969
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2010-00166 Issued in NC
Practice address
250 W Kings Hwy
Eden, NC 27288-5010
Phone
(336) 623-5171
Fax
(336) 627-5747
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 2010-00166 NC
Sports Medicine (Family Medicine) Physician 207QS0010X 28838 SC
Family Medicine Physician 207Q00000X 2010-00166 NC Primary

Addresses

Primary practice location

250 W Kings Hwy
Eden, NC 27288-5010

Mailing address

250 W Kings Hwy
Eden, NC 27288-5010
Phone (336) 623-5171

Other identifiers 1

IdentifierTypeStateIssuer
57-0359174OtherTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100715000789 NC Practitioner - Family Practice 8325170038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dayspring Family Medicine 6 clinicians
Oandw Enterprises 216 clinicians

Practice addresses (Care Compare)

250 W Kings Hwy
Eden, NC 27288-5010

723 S Van Buren Rd
Suite B
Eden, NC 27288-5418
Phone (336) 623-5171

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Reidsville, NC, CCN 347121
  • Unc Rockingham Hospital, Eden, NC, CCN 340060
  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28838SCMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayspring Family Medicine Family Medicine CurrentSince Aug 1, 2010 Accepting new patients

Locations

250 W Kings Hwy
Eden, NC 27288
Phone (336) 623-5171

723 S Van Buren Rd
Ste B
Eden, NC 27288
Phone (336) 623-5171

Interoperability endpoints

  • Direct secure messaging: sburdine@dayspring.trimed.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1356563969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W KINGS HWY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885010",
            "telephone_number": "336-623-5171",
            "fax_number": "336-627-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W KINGS HWY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885010",
            "telephone_number": "336-623-5171",
            "fax_number": "336-627-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDINE",
        "first_name": "STEVEN",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "2010-00166",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SC",
            "license": "28838",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2010-00166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "57-0359174",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.