Active NPI
Andrew D Burch Jr., MD
- Surgery Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 18434
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051520480 | Medicaid | AL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Alabama School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newgen Alabama Billing LLC | Current | Accepting new patients | |
| Correct Care, Inc. | Current | Accepting new patients | |
| Ihp Al ER PLLC | Current | Accepting new patients | |
| Evergreen Medical Center, LLC | Current | Accepting new patients | |
| Evergreen Medical Center LLC | Current | Accepting new patients | |
| City of Jackson Healthcare Authority | Current | 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.
-
- Emergency Medicine Physician
- Ozark, AL
- NPI 1013744424
-
- Rural Acute Care Hospital
- Jackson, AL
- NPI 1952427874
-
- General Acute Care Hospital
- Evergreen, AL
- NPI 1891770368
-
- Emergency Medical Services (Emergency Medicine) Physician
- Grove Hill, AL
- NPI 1568187359
-
- Rural Health Clinic/Center
- Georgiana, AL
- NPI 1619559812
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evergreen, AL
- NPI 1891770368
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.