Individual provider Active NPI

Scott Cameron Burdge, D.P.M.

  • Podiatrist
  • Katy, TX
National Provider Identifier
1538277470
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1356 Issued in TX
Practice address
21524 Kingsland Blvd
Katy, TX 77450-6183
Phone
(281) 829-9316
Fax
(281) 829-1237
NPI assigned
Aug 29, 2006
Last updated
Jan 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1356 TX Primary

Addresses

Primary practice location

21524 Kingsland Blvd
Katy, TX 77450-6183

Mailing address

21524 Kingsland Blvd
Katy, TX 77450
Phone (281) 829-9315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000021 TX Practitioner - Podiatry 3375596299 Practice locations: Katy, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21524 Kingsland Blvd
Katy, TX 77450-6183
Phone (281) 829-9316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue40
Removal of skin lesions1-10
Removal of nail tissue630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1356TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Scott C. Burdge P.a. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1538277470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21524 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "281-829-9315",
            "fax_number": "281-829-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21524 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506183",
            "telephone_number": "281-829-9316",
            "fax_number": "281-829-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDGE",
        "first_name": "SCOTT",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.