Bryan Hall Burdette

Primary specialty

DentistTaxonomy code 122300000X

License

03223 Issued in KY

Legal business name

BRYAN HALL BURDETTE

Practice address

13050 Magisterial Dr
Suite 100
Louisville, KY 40223-5180

Phone

(502) 245-1061

Fax

(502) 245-1065

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

BRYAN HALL BURDETTEAs reported in NPPES

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

Authorized official

Name

Mrs. Wanda Joan Haynes

Title

Office Manager

Phone

(502) 245-1061

Specialties & licenses 1

Addresses

Part of

Bryan Burdette DMD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Hall Burdette, DMD, MS

  • Dentist
  • Louisville, KY
  • NPI 1942207238
  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1487061081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13050 MAGISTERIAL DR",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235180",
            "telephone_number": "502-245-1061",
            "fax_number": "502-245-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 MAGISTERIAL DR",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235180",
            "telephone_number": "502-245-1061",
            "fax_number": "502-245-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN HALL BURDETTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRYAN HALL BURDETTE",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-245-1061",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "03223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Brusie
• Franchesca Yvette Brutley, LPCC
• Constance Elaine Bruton, OTR
• Alicia Brutscher
• Bayley Brutscher, APRN
• Bryan S. McCoy, Inc. (Twinbrook Nursing Home)
• Emily G Bryan, PHARMD
• Kelby Scott Bryan, DPT
• Mark E. Bryan, D.M.D.
• Whitney Bryan, RBT

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.