Ronald Burk

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

ME19766 Issued in FL

Practice address

1099 Florida Ave S
Rockledge, FL 32955-2138

Phone

(321) 632-6900

Fax

(321) 639-7222

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Indiana University School of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brevard Ear Nose and Throat Center PAGroup PAC ID 6204904634, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.52 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75.06

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rburk71781@epicdirect.hf.org
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.133

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brevard Ear Nose & Throat Center PA

  • Otolaryngology Physician
  • Rockledge, FL
  • NPI 1669454278
  Medicare reassignment Care Compare group NPD
• Wuesthoff Memorial Hospital Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rockledge, FL
  • NPI 1164685756
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1528040136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 ROCKLEDGE DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552138",
            "telephone_number": "321-632-6900",
            "fax_number": "321-639-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "RONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME19766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036995100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Brunn
• Mavis Bryant, B.A
• Buckingham Court Assisted Living LLC
• Thomas L Buddington Jr.
• Courtney Bulian
• Eileen M Burke, RN
• Candace Owen Burklew, L.M.T.
• Summer Burlingame
• Tracy L Burney, M.D.
• Elizabeth Chadwick Burns, PSY.D.

• Facial Plastic Surgery Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.