The Burgoyne Institute, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

THE BURGOYNE INSTITUTE, LLC

Practice address

4055 W Chandler Blvd
Ste 5
Chandler, AZ 85226-3732

Phone

(480) 464-4431

Fax

(480) 464-2338

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Sidney Burgoyne, M.D.

Title

Manager

Phone

(480) 464-4431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1457307381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94448",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850704448",
            "telephone_number": "480-862-4427",
            "fax_number": "480-464-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 W CHANDLER BLVD",
            "address_2": "STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263732",
            "telephone_number": "480-464-4431",
            "fax_number": "480-464-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BURGOYNE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "BURGOYNE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-464-4431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.