Harry Russell Burger, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A-1224-03 Issued in NM

Practice address

12127 B Hwy 14 N
Ste 5
Cedar Crest, NM 87008-9461

Phone

(505) 281-2460

Fax

(505) 281-2463

NPI assigned

May 1, 2006

Last updated

Jan 30, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

• New Mexico Pac Services PC

  • Hospitalist Physician
  • Santa Fe, NM
  • NPI 1801325634
  Medicare reassignment NPD
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749
  Medicare reassignment NPD
• Daiya Healthcare PLLC

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1477027381

  NM

  Medicare reassignment
• Sierra Vista Hospital

  • Critical Access Hospital
  • Truth Or Consequences, NM
  • NPI 1760446009
  NPD (past)
• American Current Care, P.a.

  dba Concentra Urgent Care

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1730360124
  NPD (past)
• Endless Mountains Health Systems

  • Critical Access Hospital
  • Montrose, PA
  • NPI 1356407373
  NPD (past)
• Great Valley Cardiology Associates

  • Cardiovascular Disease Physician
  • Scranton, PA
  • NPI 1770588980
  NPD (past)
• Scranton Cardiovascular Physician Services LLC

  • Cardiovascular Disease Physician
  • Scranton, PA
  • NPI 1366725418
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1477510543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127B HWY 14 N",
            "address_2": "STE 5",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089461",
            "telephone_number": "505-281-2460",
            "fax_number": "505-281-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12127 B HWY 14 N",
            "address_2": "STE 5",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089461",
            "telephone_number": "505-281-2460",
            "fax_number": "505-281-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "HARRY",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NM",
            "license": "A122403",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "A122403",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "A-1224-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01324331",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01786342",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46650024",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53938577",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51305879",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1324331",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28777841",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Becker
• Bioelectro Medicine LLC
• Bodymindspirit
• Carol A. Bottjer, OD
• Amy Brookes
• Cedar Crest Vision LLC
• Chapters LLC
• Charter Healthcare of Albuquerque, LLC (Silver Linings Hospice Care)
• May Ying Chau, L.M.T
• Luis Manuel Chaveste-Fernandez

• General Practice Physician in Cedar Crest, NM
• Providers in Cedar Crest, NM by specialty
• General Practice Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.