Bryan Burroughs, NURSE PRACTIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F4022251 Issued in NY

Practice address

1200A Scottsville Rd Ste 39
Rochester, NY 14624-5703

Phone

(585) 319-0785

NPI assigned

Aug 12, 2013

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

Other identifiers 1

Other names 1

• Bryan J Burroughs Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Sehwan Medical Care PLLCGroup PAC ID 8022468875, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Bryan J Burroughs NP in Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
  • NPI 1982344883

  NY, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Sehwan Medical Care PLLC

  • Psychiatry Physician
  • Yonkers, NY
  • NPI 1598537250

  NY

  Medicare reassignment Care Compare group
• Brookhaven Memorial Hospital Medical Center, Inc.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Patchogue, NY
  • NPI 1417232760

  NY

  Medicare reassignment NPD
• Clifton Springs Sanitarium Co

  • General Acute Care Hospital
  • Clifton Springs, NY
  • NPI 1366505463

  NY

  Medicare reassignment NPD
• Queens Psychiatric & Medical Care P.C.

  • Psychiatry Physician
  • Rego Park, NY
  • NPI 1497119846

  NY, Psychiatric/Mental Health

  Medicare reassignment NPD
• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1710226824

  NY

  Medicare reassignment NPD
• Asia L Todd NP in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockport, NY
  • NPI 1467138180

  Psychiatric/Mental Health

  NPD
• Brookhaven Memorial Hospital Medical Center, Inc.

  • Psychiatry Physician
  • Patchogue, NY
  • NPI 1346429115
  NPD
• Long Island Community Hospital at NYU Langone Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shirley, NY
  • NPI 1902029796
  NPD
• University of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1598476269
  NPD
• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1962928341
  NPD
• Gateway-Longview

  • Voluntary or Charitable Agency
  • Buffalo, NY
  • NPI 1710158134
  NPD (past)

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1457784647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HARVEST RIDGE TRL",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145868920",
            "telephone_number": "585-319-0785",
            "fax_number": "585-287-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200A SCOTTSVILLE RD STE 39",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245703",
            "telephone_number": "585-319-0785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Symphony Cir",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142011363",
            "country_code": "US",
            "telephone_number": "716-783-3221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 Allen St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146081857",
            "country_code": "US",
            "telephone_number": "516-875-8795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9520 63rd Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113741145",
            "country_code": "US",
            "telephone_number": "516-875-8795",
            "fax_number": "585-287-6288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6350 Main St",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215821",
            "country_code": "US",
            "telephone_number": "716-783-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROUGHS",
        "first_name": "BRYAN",
        "credential": "NURSE PRACTIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F4022251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYAN",
            "last_name": "BURROUGHS",
            "middle_name": "J",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachel Martina Burr, MD
• Steven D Burr
• Amy Duflo Burris, M.D.
• Christina Noelle Burris, AGNP-BC
• Jonathan Ryan Burris, M.D.
• Janelle Burroughs
• Kathryn A. Burroughs, R-PAC
• Laura Burroughs, RN
• Sharee Nicole Burroughs, LPN
• Tiffany L Burroughs

• Psychiatric/Mental Health Nurse Practitioner in Rochester, NY
• Providers in Rochester, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.