Organization Active NPI

Burg Foot & Ankle PA

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1528435807
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2882 Issued in FL
Legal business name
BURG FOOT & ANKLE PA
Practice address
12681 New Brittany Blvd
BLDG 1E
Fort Myers, FL 33907-3631
Phone
(239) 689-3843
Fax
(239) 689-3852
NPI assigned
Aug 21, 2015
Last updated
Aug 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Authorized official

Name
Dr. Brian Dennis Burg, DPM
Title
Owner
Phone
(239) 689-3843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO2882 FL Primary

Addresses

Primary practice location

12681 New Brittany Blvd
BLDG 1E
Fort Myers, FL 33907-3631

Mailing address

12681 New Brittany Blvd
BLDG 1E
Fort Myers, FL 33907-3631
Phone (239) 689-3843

National Provider Directory

National Provider Directory

Locations

923 Del Prado Blvd S
Ste 202
Cape Coral, FL 33990
Phone (239) 236-2611

12681 New Brittany Blvd
Bldg 1E
Fort Myers, FL 33907
Phone (239) 689-3843

12681 New Brittany Blvd
Ste 1E
Fort Myers, FL 33907
Phone (239) 689-3843

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": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1528435807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12681 NEW BRITTANY BLVD",
            "address_2": "BLDG 1E",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073631",
            "telephone_number": "239-689-3843",
            "fax_number": "239-689-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12681 NEW BRITTANY BLVD",
            "address_2": "BLDG 1E",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073631",
            "telephone_number": "239-689-3843",
            "fax_number": "239-689-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURG FOOT & ANKLE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "BURG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-689-3843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.