Harry E. Burck Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0000009361 Issued in TN

Practice address

1514 Sparta St
MC Minnville, TN 37110-1317

Phone

(931) 473-8400

Fax

(931) 473-0620

NPI assigned

Sep 23, 2005

Last updated

Nov 10, 2020By 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 4

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• McMinnville Medical Associates PLLC

  • Internal Medicine Physician
  • McMinnville, TN
  • NPI 1104937267
  Authorized official Same address or phone

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1629064738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-473-8400",
            "fax_number": "931-473-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 SPARTA ST",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101317",
            "telephone_number": "931-473-8400",
            "fax_number": "931-473-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCK",
        "first_name": "HARRY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000009361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0440418",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3175187",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0040609",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110194120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander M Brown, MD
• Cynthia Brown
• Kristina L Brown, APRN, FNP-BC
• Robert G Buchla, D.C.
• Buckeye Home Health Center, Inc.
• Jennifer Burks, M.ED., BCBA, LBA
• Lindsey Dawn Burton, MD
• Ginger Byars
• Elizabeth Byrd, FNP-BC
• Joan Michelle Cade, PHARMD

• Internal Medicine Physician in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.