Individual provider Active NPI

Andrew D Burch Jr., MD

  • Surgery Physician
  • Mobile, AL
National Provider Identifier
1689692915
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
18434 Issued in AL
Practice address
3715 Dauphin St Ste 6D
Mobile, AL 36608-1774
Phone
(251) 345-8878
Fax
(251) 345-8095
NPI assigned
Jul 17, 2006
Last updated
Apr 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 18434 AL Primary

Addresses

Primary practice location

3715 Dauphin St Ste 6D
Mobile, AL 36608-1774

Mailing address

PO Box 91436
Mobile, AL 36691-1436
Phone (251) 345-8878

Other identifiers 1

IdentifierTypeStateIssuer
051520480MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20040624001038 AL Practitioner - General SurgeryPractitioner - Emergency Medicine 3577548627 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Emergency Medicine
Education
University of Alabama School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

295 S Jackson St
Grove Hill, AL 36451-3231
Phone (251) 275-3191

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Newgen Alabama Billing LLC CurrentSince Aug 5, 2025 Accepting new patients
Correct Care, Inc. CurrentSince Apr 17, 2017 Accepting new patients
Ihp Al ER PLLC CurrentSince Apr 8, 2024 Accepting new patients
Evergreen Medical Center, LLC CurrentSince Jun 1, 2021 Accepting new patients
Evergreen Medical Center LLC CurrentSince Jun 1, 2021 Accepting new patients
City of Jackson Healthcare Authority CurrentSince Feb 20, 2019 Accepting new patients

Locations

101 Crestview Ave
Evergreen, AL 36401
Phone (251) 578-0184

106 Edwina St
Evergreen, AL 36401
Phone (251) 578-4300

295 S Jackson St
Grove Hill, AL 36451
Phone (251) 275-3191

220 Hospital Dr
Jackson, AL 36545
Phone (251) 246-1159

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1689692915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91436",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366911436",
            "telephone_number": "251-345-8878",
            "fax_number": "251-345-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST STE 6D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081774",
            "telephone_number": "251-345-8878",
            "fax_number": "251-345-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "18434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051520480",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.