Organization Active NPI

Mark Burger DO LLC

  • Psychiatry Physician
  • Henderson, NV
National Provider Identifier
1487474300
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MARK BURGER DO LLC
Practice address
10301 Jeffreys St
Henderson, NV 89052-3922
Phone
(702) 939-9400
NPI assigned
Oct 15, 2024
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Mark Burger, DO
Title
Owner
Phone
(702) 625-1464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

10301 Jeffreys St
Henderson, NV 89052-3922

Mailing address

10300 W Charleston Blvd # 13-220
Las Vegas, NV 89135-1037
Phone (702) 625-1464

National Provider Directory

National Provider Directory

Locations

10300 W Charleston Blvd
#13220
Las Vegas, NV 89135

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1487474300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 W CHARLESTON BLVD # 13-220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891351037",
            "telephone_number": "702-625-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 JEFFREYS ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523922",
            "telephone_number": "702-939-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK BURGER DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-625-1464",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.