Timothy A Burrell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01042017A Issued in IN

Practice address

1001 N Madison Ave
Greenwood, IN 46142-4135

Phone

(317) 888-3508

NPI assigned

May 30, 2006

Last updated

Aug 24, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: tburrell@yourcarecommunity.org

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

• Unity Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lafayette, IN
  • NPI 1205874674
  NPD (past)
• Lewis Memorial Christian Village

  • Skilled Nursing Facility
  • Springfield, IL
  • NPI 1578589974
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1538116850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 S RENWICK BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017167",
            "telephone_number": "812-320-4183",
            "fax_number": "812-347-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MADISON AVE",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424135",
            "telephone_number": "317-888-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01042017A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "01042017A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri Burkhalter, PT
• Alyssa M Burkhart, NP
• Megan N Burnett, PT
• Stephanie Burns, PA-C
• Laina Burnworth
• Lydia Burris
• Mykeshia Burton
• Samantha Leeann Burton
• Amirah Butler, PA-C
• Hayley Elizabeth Danielle Butler, RBT

• Family Medicine Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.