Active NPI
Steven E Burdine, MD
- Family Medicine Physician
- Eden, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2010-00166
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57-0359174 | Other | TAX 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 MedicineOandw Enterprises
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
- Unc Rockingham
- Moses H. Cone Memorial Hospital, the
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28838 | SC | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayspring Family Medicine | Family Medicine | Current | 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
- 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.
-
- Physical Therapist
- Stanleytown, VA
- NPI 1487895348
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Reidsville, NC
- NPI 1063667210
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.