Active NPI
Brent Alexander Burket, MD
- Family Medicine Physician
- Medford, OR
National Provider Identifier
1720048168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD24036
- Practice address
- 2828 E Barnett Rd
Medford, OR 97504-8342 - Phone
- (541) 789-8000
- Fax
- (541) 789-8225
- NPI assigned
- Mar 27, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD24036 | OR | Primary |
| Family Medicine Physician | 207Q00000X | G84835 | CA |
Addresses
Primary practice location
2828 E Barnett Rd
Medford, OR 97504-8342
Mailing address
2825 E Barnett Rd
MSS
Medford, OR 97504-8332
Phone (541) 789-4281
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720048168 | Medicaid | OR | |
| 943096772 | Other | FEDERAL TAX ID | |
| 022868 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2825 E Barnett Rd
Medford, OR 97504-8332
Hospital & facility affiliations
- Accentcare Home Health of Rogue Valley, LLC
- Asante Rogue Regional Medical Center
- Asante Ashland Community Hospital
- Asante Three Rivers Medical Center
- Providence Medford Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84835 | CA | MD | Clinical Social Worker |
| G84835 | CA | MD | Family Medicine Physician |
| MD24036 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Medford, OR
- NPI 1912228727
-
- General Acute Care Hospital
- Medford, OR
- NPI 1770587107
-
- General Acute Care Hospital
- Ashland, OR
- NPI 1730628827
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
-
- General Acute Care Hospital
- Medford, OR
- NPI 1689755670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1720048168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 E BARNETT RD",
"address_2": "MSS",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048332",
"telephone_number": "541-789-4281",
"fax_number": "541-789-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048342",
"telephone_number": "541-789-8000",
"fax_number": "541-789-8225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKET",
"first_name": "BRENT",
"middle_name": "ALEXANDER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2023-12-19",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD24036",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G84835",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720048168",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "943096772",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022868",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.