Patrick Wylie Burge, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

3022 Issued in TX

Practice address

1130 Beachview St Ste 200
Dallas, TX 75218-3705

Phone

(214) 321-9410

Fax

(214) 321-9437

NPI assigned

Mar 23, 2017

Last updated

Oct 30, 2020By 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 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

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bravura Foot and Ankle Specialists, PLLCGroup PAC ID 9133547516, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bravura Foot and Ankle Specialists, PLLC

  dba Bravura FAS

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
  • NPI 1740894807

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Brett Allan Gabriel

  • Podiatrist
  • Dallas, TX
  • NPI 1427228121

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1447781281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752180221",
            "telephone_number": "214-321-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BEACHVIEW ST STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183705",
            "telephone_number": "214-321-9410",
            "fax_number": "214-321-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGE",
        "first_name": "PATRICK",
        "middle_name": "WYLIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2020-10-30",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cary Jocelyn Buresh, M.D.
• Donna Burg, RD
• Melissabel Burga Orrillo
• Michael Burgdoerfer, PT, DPT
• Dale A Burgdorf, DDS
• Carly Burger, PSYD
• Kenneth A. Burger, PNP
• Melissa Anne Burger, MD
• Rachelle Kieffer Burger, OTR
• Danielle K Burgess, DDS, MS, MMSC

• Foot & Ankle Surgery Podiatrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.