NPIMap

Individual provider Active NPI

Andrew E Burg, MD

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1427043181
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME91867 Issued in FL
Practice address
1040 River Heritage Blvd
Suite 204
Bradenton, FL 34212-6348
Phone
(941) 917-7100
Fax
(941) 917-7142
NPI assigned
Sep 19, 2005
Last updated
Jun 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME91867 FL Primary

Addresses

Primary practice location

1040 River Heritage Blvd
Suite 204
Bradenton, FL 34212-6348

Mailing address

PO Box 863407
Orlando, FL 32886-0001
Phone (941) 917-2600

Other identifiers 4

IdentifierTypeStateIssuer
01585OtherFLBCBS
271440000MedicaidFL
P00180092OtherFLRAIL ROAD MEDICARE
P00712233OtherFLRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115001137 FL Practitioner - Family Practice 1759345275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1040 River Heritage Blvd
Unit 204
Bradenton, FL 34212-6348
Phone (941) 917-7100

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc Family Medicine CurrentSince May 2, 2011 Accepting new patients
SMH Physician Services Inc Past Accepting new patients
Pinnacle Medical Group PA Family Medicine Past Accepting new patients
West Florida Physician Network, LLC Family Medicine Past Accepting new patients
Lakewood Ranch Premier Care Family Medicine Past Accepting new patients

Locations

1040 River Heritage Blvd
Unit 204
Bradenton, FL 34212
Phone (941) 917-7100

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

5350 University Pkwy
Ste 101
Sarasota, FL 34243
Phone (941) 917-4675

Interoperability endpoints

  • Direct secure messaging: andrew.burg@fpg.directbygreenway.com

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1427043181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328860001",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER HERITAGE BLVD",
            "address_2": "SUITE 204",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342126348",
            "telephone_number": "941-917-7100",
            "fax_number": "941-917-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURG",
        "first_name": "ANDREW",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME91867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01585",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271440000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00180092",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00712233",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.