Burgundy Medical PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BURGUNDY MEDICAL PC

Practice address

8304 5TH Ave
Brooklyn, NY 11209-4566

Phone

(347) 492-0353

Fax

(347) 492-0203

NPI assigned

Dec 27, 2024

Organization subpart

No

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

Authorized official

Name

Alcibiades J. Rodriguez, MDNPI 1831151281

Title

Owner

Phone

(646) 558-0800

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alcibiades J. Rodriguez, MD

  • Clinical Neurophysiology Physician
  • New York, NY
  • NPI 1831151281
  NPD Authorized official

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1417765140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8304 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094566",
            "telephone_number": "347-492-0353",
            "fax_number": "347-492-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8304 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094566",
            "telephone_number": "347-492-0353",
            "fax_number": "347-492-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGUNDY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ALCIBIADES",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-558-0800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenice Burgos, LMSW
• Nakia Zamalia Burgos
• Naomi Esther Burgos
• Valentina Lourdes Burgos
• Wilfred Charles Burgoyne, LCSW
• Burhan Pharmacy Inc
• Diane Pollack Burhenne, PHD
• Thornia Burke-Bancroft
• Amanda Sophia Burke, MA
• Andrea Burke, MD

• Diagnostic Radiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.