Mitchell Ira Burken, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

0101282544 Issued in VA

Practice address

11720 Main St Ste 108
Fredericksburg, VA 22408-7368

Phone

(540) 735-9350

NPI assigned

Aug 14, 2019

Last updated

May 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Dr. Mitchell Ira Burken Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Treatment Centers VA-I, LLC

  dba FCCR Fredericksburg

  • Methadone Clinic
  • Fredericksburg, VA
  • NPI 1356854277
  NPD (past)
• Pinnacle Treatment Centers VA-I, LLC

  dba Front Royal Treatment Center

  • Methadone Clinic
  • Front Royal, VA
  • NPI 1821717067
  NPD (past)
• Smith Berch, Inc.

  dba Frederick Institute

  • Methadone Clinic
  • Frederick, MD
  • NPI 1528012754
  NPD (past)

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1407402506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11720 MAIN ST STE 108",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087368",
            "telephone_number": "540-735-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11720 MAIN ST STE 108",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087368",
            "telephone_number": "540-735-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5716 Industry Ln",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217045224",
            "country_code": "US",
            "telephone_number": "301-663-4130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKEN",
        "first_name": "MITCHELL",
        "middle_name": "IRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D0031869",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101282544",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MD",
            "license": "D0031869",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "VA",
            "license": "0101282544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITCHELL",
            "last_name": "BURKEN",
            "middle_name": "IRA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andres Mauricio Burbano, MD
• Emily Burger, PHARMD
• Julia S. Burgess
• Sophia Anna Burgess
• Patrick Declan Burke, M.D.
• Tiffany Lynn Burkhart, LBA
• Judith Burkle, LCSW
• Sarah Dean Burlar, LCSW
• Julia Lynn Burnette-Lee, LCSW
• Burns Family Dentistry, P.C.

• Addiction Medicine (Internal Medicine) Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Addiction Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.