Dean Evan Burklund, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004780 Issued in MI

Practice address

5220 Highland Rd
Suite 210
Waterford, MI 48327-1975

Phone

(248) 383-1030

Fax

(248) 383-1031

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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 MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Lawrence M Dell, MD, PC

  • Clinic/Center
  • West Bloomfield, MI
  • NPI 1497766406
  Medicare reassignment

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1386735140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD",
            "address_2": "SUITE 210",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271975",
            "telephone_number": "248-383-1030",
            "fax_number": "248-383-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD",
            "address_2": "SUITE 210",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271975",
            "telephone_number": "248-383-1030",
            "fax_number": "248-383-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKLUND",
        "first_name": "DEAN",
        "middle_name": "EVAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert S Budai, MPT, OCS
• Hanna Clair Bullard
• Cheryl Burford
• Kelly Louise Burger
• Jennifer Milz Burke, P.T.
• Jenna Michelle Burnfield
• Daniel Mark Burns, D.D.S.
• Dana M Busch, DO
• Ashley Simone Butler
• Steffany Lynn Butler

• Physician Assistant in Waterford, MI
• Providers in Waterford, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.