Individual provider Active NPI

Brian Keith Burgan, DPM

  • Podiatrist
  • Chattanooga, TN
National Provider Identifier
1376501221
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM0000000489 Issued in TN
Practice address
7694 E Brainerd Rd
Chattanooga, TN 37421-3162
Phone
(423) 206-9742
Fax
(423) 206-9743
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD000785 GA
Podiatrist 213E00000X DPM0000000489 TN Primary

Addresses

Primary practice location

7694 E Brainerd Rd
Chattanooga, TN 37421-3162

Mailing address

7694 E Brainerd Rd
Chattanooga, TN 37421-3162
Phone (423) 206-9742

Other identifiers 1

IdentifierTypeStateIssuer
Q011198MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061215000030 TN Practitioner - Podiatry 0143290148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7694 E Brainerd Rd
Chattanooga, TN 37421-3162
Phone (423) 206-9742

Hospital & facility affiliations

  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue291
Removal of skin lesions29
Removal of nail tissue989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD000785GAMDPodiatrist
DPM0000000489TNMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Brainerd Podiatry Center PLLC Podiatrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

7694 E Brainerd Rd
Chattanooga, TN 37421
Phone (423) 206-9742

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.

Hospital & facility affiliations 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1376501221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7694 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213162",
            "telephone_number": "423-206-9742",
            "fax_number": "423-206-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7694 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213162",
            "telephone_number": "423-206-9742",
            "fax_number": "423-206-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGAN",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000785",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM0000000489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q011198",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.