Active NPI
Burton Fletcher, M.D.
- Internal Medicine Physician
- Brooklyn, NY
National Provider Identifier
1477574812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 169296
- Practice address
- 348 13TH St
Suite 201
Brooklyn, NY 11215-5004 - Phone
- (718) 622-7800
- Fax
- (718) 636-2902
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 169296 | NY | Primary |
Addresses
Primary practice location
348 13TH St
Suite 201
Brooklyn, NY 11215-5004
Mailing address
348 13TH St
Suite 201
Brooklyn, NY 11215-5004
Phone (718) 622-7800
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041206000451 | NY | Practitioner - Internal Medicine | 6103888409 | Practice locations: Brooklyn, NY; Rockaway Park, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169296 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477574812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 13TH ST",
"address_2": "SUITE 201",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155004",
"telephone_number": "718-622-7800",
"fax_number": "718-636-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 13TH ST",
"address_2": "SUITE 201",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155004",
"telephone_number": "718-622-7800",
"fax_number": "718-636-2902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "BURTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "169296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.