Burdman Group Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

0305 Issued in OH

Legal business name

BURDMAN GROUP INC.

Practice address

3120 W Market St
Warren, OH 44485-3069

Phone

(330) 898-6992

NPI assigned

Mar 25, 2008

Last updated

May 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Wingert

Title

Controller

Phone

(330) 743-9275

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1639341258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BROADWAY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041752",
            "telephone_number": "330-743-9275",
            "fax_number": "330-743-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444853069",
            "telephone_number": "330-898-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURDMAN GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "WINGERT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "330-743-9275"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OH",
            "license": "0305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2314472",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn L Bulgrin, DO
• Jared Daniel Bunevich, D.O.
• Jenna Buonavolonta, PA-C
• Stephanie Burbick, FNP-C
• Amy R Burch
• Burdman Group, Inc. (Riverbend Center)
• Linda J Burger
• Brett Burgett
• Marjorie Burin, M.S. ED., P.C.
• John Mark Burkey, M.A.

• Mental Illness Community Based Residential Treatment Facility in Warren, OH
• Providers in Warren, OH by specialty
• Mental Illness Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.