Active NPI
Brian Burnham
- Pediatrics Physician
- Alpharetta, GA
National Provider Identifier
1548622343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 83758
- Practice address
- 11525 Haynes Bridge Rd Ste 200
Alpharetta, GA 30009-4822 - Phone
- (770) 751-0800
- Fax
- (770) 751-7198
- NPI assigned
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 83758 | GA | Primary |
Addresses
Primary practice location
11525 Haynes Bridge Rd Ste 200
Alpharetta, GA 30009-4822
Mailing address
11525 Haynes Bridge Rd Ste 200
Alpharetta, GA 30009-4822
Phone (770) 751-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Pediatric Center, P.C. | Single Specialty | Current | Accepting new patients |
Locations
11525 Haynes Bridge Rd
Ste 200
Alpharetta, GA 30009
Phone (770) 751-0800
110 N Corners Pkwy
#100
Cumming, GA 30040
Phone (770) 751-0800
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1194
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1548622343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11525 HAYNES BRIDGE RD STE 200",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300094822",
"telephone_number": "770-751-0800",
"fax_number": "770-751-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11525 HAYNES BRIDGE RD STE 200",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300094822",
"telephone_number": "770-751-0800",
"fax_number": "770-751-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNHAM",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "GA",
"license": "83758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.