Burn ICU, LLC

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

Legal business name

BURN ICU, LLC

Practice address

3651 Wheeler Rd
Augusta, GA 30909-6521

Phone

(706) 651-6661

Fax

(706) 504-4639

NPI assigned

May 25, 2011

Last updated

Aug 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bruce C Friedman, M.D.NPI 1417939315

Title

Partner

Phone

(706) 339-3975

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, and the practitioner matching its NPPES authorized official.

• Bruce C Friedman, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Augusta, GA
  • NPI 1417939315
  Authorized official Same address or phone

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1518250422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16187",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309192187",
            "telephone_number": "706-504-4651",
            "fax_number": "706-504-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096521",
            "telephone_number": "706-651-6661",
            "fax_number": "706-504-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURN ICU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "706-339-3975",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Carolyn Burke
• Samuel Edward Burkett, M.D.
• Dawn Pasquarello Burks, APRN
• Serenity Joy Burley, OTR/L
• Burn Critical Care Associates, LLC
• Mikayla Burnett
• Niya Arien Burnette, LCSW
• Amber Burney
• Brandon Burns, PT
• Crystal Burns

• Critical Care Medicine (Internal Medicine) Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Critical Care Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.