Charles William Burger, M.D.
Individual provider Active NPI Family Medicine Physician · Pulaski, TN
NPI 1720069933 · NPPES record last updated Jun 2, 2010
Key facts
- NPI
- 1720069933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 9613 (TN)
- Practice address
- 215 S Cedar LN
Pulaski, TN 38478-3502 - Phone
- (931) 363-2511
- Fax
- (931) 424-6109
- NPI assigned
- Nov 7, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9613 | TN | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9613 | TN | Yes |
Addresses
Primary practice location
215 S Cedar LN
Pulaski, TN 38478-3502
Mailing address
PO Box 577
Pulaski, TN 38478-0577
Phone (931) 363-2511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3167818 | Medicaid | TN |
Other providers in Pulaski, TN
- Parker Ann Brown
- Scarlett Samantha Brown
- Marianna Elizabeth Brumit
- Jerry Benson Bryant
- Ashley Burdick
- Matthew Jesse Burns
- Debra Jean Burr
- Sara Beth Bush
- Amy Caroline Calahan
- Jo Ann Campbell
All providers in Pulaski, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.