Patrick Stewart Burchfield, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

23796 Issued in TX

Practice address

1132 Midtown Drive
College Station, TX 77845

Phone

(979) 846-7799

Fax

(979) 326-1510

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Southern Smiles, Family & Cosmetic Dentistry

  • Dentist
  • College Station, TX
  • NPI 1063957991
  NPD Authorized official
• Patrick S. Burchfield DDS, PC

  • General Practice Dentistry
  • Bryan, TX
  • NPI 1891072013
  NPD (past) Authorized official

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1376523290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 MIDTOWN DRIVE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-846-7799",
            "fax_number": "979-326-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 MIDTOWN DRIVE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-846-7799",
            "fax_number": "979-326-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHFIELD",
        "first_name": "PATRICK",
        "middle_name": "STEWART",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Lyn Buenger, RN, BSN, NBC-HWC
• Anh Phuong Bui
• Jasmin Athena Bui, APRN
• Benjamin Bumguardner, D.C.
• David P Buras, MD
• Haley Burden, RBT
• Margaret Lucille Burks, MD
• Logan Burns
• Valencia Burns
• Cory Brenson Burrough, M.D.

• Dentist in College Station, TX
• Providers in College Station, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.