Active NPI
Bruce A Burkeen, PA-C
- Physician Assistant
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601003027
- Practice address
- 2500 Packard St Ste 104a
Ann Arbor, MI 48104-6827 - Phone
- (734) 707-1052
- Fax
- (734) 661-1887
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 798 | TN | |
| Physician Assistant | 363A00000X | 5601003027 | MI | Primary |
Addresses
Primary practice location
2500 Packard St Ste 104a
Ann Arbor, MI 48104-6827
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 936-4000
Other practice location 1
2970 E Lake Lansing Rd
East Lansing, MI 48823-7415
Phone (734) 707-1052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Packard St
Suite 104a
Ann Arbor, MI 48104-6827
Phone (734) 707-1052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iha Health Service Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Carespot of Nashville (West End Avenue), LLC | Current | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| TN-I Medical Services PC | Physician Assistant | Past | Accepting new patients |
| Carespot of Lebanon 1705 West Main Street LLC | Past | Accepting new patients | |
| Ehra Medical Services of Tennessee PC | Past | Accepting new patients | |
| Urgent Care Enterprise LLC | Past | Accepting new patients | |
| Tennessee Em-I Medical Services PC | Physician Assistant | Past | Accepting new patients |
Locations
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
3404 West End Ave
Ste 101
Nashville, TN 37203
Phone (615) 866-4238
Organizations & group practices 11
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.
-
- Psychiatry Physician
- Ann Arbor, MI
- NPI 1275085375
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Vascular Surgery Physician
- Ypsilanti, MI
- NPI 1437660057
-
- Urgent Care Clinic/Center
- Nashville, TN
- NPI 1699118828
-
- Urgent Care Clinic/Center
- Lebanon, TN
- NPI 1417390642
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1346531613
-
- Emergency Medicine Physician
- Morristown, TN
- NPI 1598714826
-
- Physician Assistant
- Lebanon, TN
- NPI 1164742300
-
- Physician Assistant
- Nashville, TN
- NPI 1972894244
-
- Urgent Care Clinic/Center
- Antioch, TN
- NPI 1477087658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1649209354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-936-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 PACKARD ST STE 104A",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046827",
"telephone_number": "734-707-1052",
"fax_number": "734-661-1887"
}
],
"practiceLocations": [
{
"address_1": "2970 E Lake Lansing Rd",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488237415",
"country_code": "US",
"telephone_number": "734-707-1052",
"fax_number": "734-661-1887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKEEN",
"first_name": "BRUCE",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "798",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.