Christina M. Burch, M.D.
Individual provider Active NPI Neurology Physician · Goodlettsville, TN
NPI 1619902392 · NPPES record last updated Jun 8, 2021
Key facts
- NPI
- 1619902392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 63038-20 (WI)
- Practice address
- 5416 Brick Church Pike
Goodlettsville, TN 37072-9016 - Phone
- (615) 855-0594
- Fax
- (615) 851-2017
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in TN, VA, WI, IL, MI, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090706000650 | TN | Practitioner - Neurology |
8921159898 | Reassigns benefits to 1 organization |
| I20190529001936 | VA | Practitioner - Neurology | 8921159898 | Reassigns benefits to 2 organizations |
| I20190626004012 | WI | Practitioner - Neurology | 8921159898 | Reassigns benefits to 2 organizations |
| I20191231001215 | IL | Practitioner - Neurology | 8921159898 | Reassigns benefits to 1 organization |
| I20210609000800 | MI | Practitioner - Neurology | 8921159898 | Reassigns benefits to 1 organization |
| I20231206002874 | AL | Practitioner - Neurology | 8921159898 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0114043 | FL | MD | Neuromuscular Medicine (Psychiatry & Neurology) Physician |
| MD.31458 | AL | MD | Neurology Physician |
| MD45272 | AZ | MD | Neurology Physician |
| C55405 | CA | MD | Neurology Physician |
| 1104079070 | GA | MD | Neurology Physician |
| 41979 | IA | MD | Neurology Physician |
| 01072058A | IN | MD | Neurology Physician |
| 46808 | KY | MD | Neurology Physician |
| 2406 | MS | MD | Neurology Physician |
| 63038-20 | WI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Multi-Specialty | Current |
Accepting new patients |
| Riverside Physician Services Inc | Multi-Specialty | Current |
Accepting new patients |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Multi-Specialty | Current |
Accepting new patients |
| Oconto Hospital & Medical Center Inc | Multi-Specialty | Current |
Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Multi-Specialty | Current |
Accepting new patients |
| Oconto Hospital & Medical Center Inc | Multi-Specialty | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Multi-Specialty | Current |
Accepting new patients |
| Covenant Medical Center, Inc | Multi-Specialty | Current |
Accepting new patients |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current |
Accepting new patients | |
| Covenant Medical Center, Inc. | Multi-Specialty | Current | Accepting new patients |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Multi-Specialty | Current |
Accepting new patients |
| Bellin Memorial Hospital Inc | Multi-Specialty | Current | Accepting new patients |
| Covenant Medical Center, Inc | Multi-Specialty | Current |
Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Multi-Specialty | Current |
Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Multi-Specialty | Current |
Accepting new patients |
| Bon Secours Medical Group Richmond Specialty Care LLC | Multi-Specialty | Current |
Accepting new patients |
| Riverside Physician Services, Inc. | Multi-Specialty | Current |
Accepting new patients |
| Riverside Physician Services Inc | Multi-Specialty | Current | Accepting new patients |
| Witt Radiology | Specialist | Past | Accepting new patients |
| Susquehanna Physician Services | Multi-Specialty | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
500 22nd St S
Birmingham, AL 35233
Phone (205) 801-7440
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
12200 Warwick Blvd
Ste 110
Newport News, VA 23601
Phone (757) 534-5100
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Interoperability endpoints
- cburch534392@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35701 | TN | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | ME0114043 | FL | |
| Neurology Physician | 2084N0400X | 01072058A | IN | |
| Neurology Physician | 2084N0400X | MD.31458 | AL | |
| Neurology Physician | 2084N0400X | C55405 | CA | |
| Neurology Physician | 2084N0400X | MD45272 | AZ | |
| Neurology Physician | 2084N0400X | 41979 | IA | |
| Neurology Physician | 2084N0400X | 46808 | KY | |
| Neurology Physician | 2084N0400X | 35701 | TN | |
| Neurology Physician | 2084N0400X | 1104079070 | GA | |
| Neurology Physician | 2084N0400X | 036129363 | IL | |
| Neurology Physician | 2084N0400X | MD040189L | PA | |
| Neurology Physician | 2084N0400X | 2406 | MS | |
| Neurology Physician | 2084N0400X | 4301503541 | MI | |
| Neurology Physician |
2084N0400X | 63038-20 | WI | Yes |
Addresses
Primary practice location
5416 Brick Church Pike
Goodlettsville, TN 37072-9016
Mailing address
5416 Brick Church Pike
Goodlettsville, TN 37072-9016
Phone (615) 855-0594
Other practice location 1
1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4400
Other practice location 2
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025202450001 | Medicaid | PA | |
| 3842541 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cburch534392@Direct.FranciscanAlliance.org | Direct |
Other providers in Goodlettsville, TN
- Amy W Bruns
- Grady L Bryant
- Jeffrey T. Bryant
- Lee A Bullington
- Jeanette Anne Bunt
- Robert Stanley Burcham
- Burke L. Mays and Associates, Inc.
- Jonathan Wayne Burks
- Emily Diane Burns
- Adam R Burrows
All providers in Goodlettsville, TN · Neurology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.