Active NPI
Carl Burch
- Contractor
- Willow Street, PA
National Provider Identifier
1730055583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 4 Oak LN
Willow Street, PA 17584-9347 - Phone
- (267) 691-9775
- Fax
- (267) 691-9775
- NPI assigned
- Oct 16, 2025
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
4 Oak LN
Willow Street, PA 17584-9347
Mailing address
4 Oak LN
Willow Street, PA 17584-9347
Phone (267) 691-9775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1730055583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 OAK LN",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849347",
"telephone_number": "267-691-9775",
"fax_number": "267-691-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 OAK LN",
"city": "WILLOW STREET",
"state": "PA",
"postal_code": "175849347",
"telephone_number": "267-691-9775",
"fax_number": "267-691-9775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "CARL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Street, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.