Clinical Neurophysiology Consulting PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CLINICAL NEUROPHYSIOLOGY CONSULTING PLLC

Practice address

160 Campau Cir NW Unit 151
Grand Rapids, MI 49503-6100

Phone

(313) 977-0217

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

David Edwin Burdette, MDNPI 1679648315

Title

President

Phone

(313) 977-0217

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Edwin Burdette, MD

  • Epilepsy Physician
  • Grand Rapids, MI
  • NPI 1679648315

  Neurology

  NPD Authorized official

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1497487524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CAMPAU CIR NW UNIT 151",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036100",
            "telephone_number": "313-977-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CAMPAU CIR NW UNIT 151",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495036100",
            "telephone_number": "313-977-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL NEUROPHYSIOLOGY CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "BURDETTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-977-0217",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jordyn Cline, OT
• Melissa Zuteck Cline, MS,CGC
• Rebecca Marie Cline, PA-C
• Sarah Grace Cline
• Lindsey Rae Clingen, RN
• Clinton J Harris, MD, PLC
• CLM Enterprises Inc.
• CLM Enterprises Inc.
• CLM Enterprises, Inc.
• Rebecca Mae Clodfelder Moorehead, LMSW

• Neurology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.