Individual provider Active NPI

Dean Carson Burdge, RPA,RA (CBRPA)

  • Radiology Practitioner Assistant
  • Birmingham, AL
National Provider Identifier
1508062407
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
JX28934 Issued in FL
Practice address
1 Metroplex Dr
Suite 250
Birmingham, AL 35209-6893
Phone
(800) 956-0179
Fax
(205) 802-7549
NPI assigned
Jun 26, 2007
Last updated
Feb 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Practitioner Assistant 243U00000X JX28934 FL Primary

Addresses

Primary practice location

1 Metroplex Dr
Suite 250
Birmingham, AL 35209-6893

Mailing address

245 Newcomer TRL
Fitzgerald, GA 31750-8651
Phone (229) 426-7472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
JX28934FLMDRadiology Practitioner Assistant

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1508062407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 NEWCOMER TRL",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317508651",
            "telephone_number": "229-426-7472",
            "fax_number": "229-424-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 METROPLEX DR",
            "address_2": "SUITE 250",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096893",
            "telephone_number": "800-956-0179",
            "fax_number": "205-802-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDGE",
        "first_name": "DEAN",
        "middle_name": "CARSON",
        "name_prefix": "Mr.",
        "credential": "RPA,RA (CBRPA)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "FL",
            "license": "JX28934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.