Organization Active NPI

David H. Burchenal LLC

  • Internal Medicine Physician
  • Greenwich, CT
National Provider Identifier
1528137445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
032153 Issued in CT
Legal business name
DAVID H. BURCHENAL LLC
Practice address
49 Lake Ave
Suite 2
Greenwich, CT 06830-4501
Phone
(203) 869-5710
Fax
(203) 869-7693
NPI assigned
Nov 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Holland Burchenal, MDNPI 1922050632
Title
Owner
Phone
(860) 535-3245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 032153 CT Primary

Addresses

Primary practice location

49 Lake Ave
Suite 2
Greenwich, CT 06830-4501

Mailing address

213 Elm St
Stonington, CT 06378-1165
Phone (860) 535-3245

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528137445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 ELM ST",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063781165",
            "telephone_number": "860-535-3245",
            "fax_number": "860-535-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 LAKE AVE",
            "address_2": "SUITE 2",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304501",
            "telephone_number": "203-869-5710",
            "fax_number": "203-869-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H. BURCHENAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURCHENAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HOLLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-535-3245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "032153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.