Active NPI
Brian Ruschman Burkhardt, ARNP
- Nurse Practitioner
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3004382
- Practice address
- 711 Medical Village Dr
Edgewood, KY 41017 - Phone
- (859) 301-9010
- Fax
- (859) 301-9018
- NPI assigned
- Jun 23, 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 3004382 | KY | |
| Nurse Practitioner | 363L00000X | 3004382 | KY | Primary |
Addresses
Primary practice location
711 Medical Village Dr
Edgewood, KY 41017
Mailing address
PO Box 636324
Cincinnati, OH 45263-6324
Phone (859) 301-9010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78013000 | Medicaid | KY | |
| 3037672 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Elizabeth Medical Center, Inc. | Nurse Practitioner | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Nurse Practitioner | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| Cumberland Orthopaedics and Sports Medicine, PLLC | Nurse Practitioner | Past | Accepting new patients |
Locations
711 Medical Village Dr
Edgewood, KY 41017
Phone (859) 287-3045
20 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-1600
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
20 Medical Village Dr
Ste 204
Edgewood, KY 41017
Phone (859) 301-5959
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
Interoperability endpoints
- bburkhardt18269@direct-prd.stelizabeth.com
Organizations & group practices 4
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.
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Edgewood, KY
- NPI 1588620868
Nurse Practitioner
-
- Orthopaedic Surgery Physician
- London, KY
- NPI 1033167515
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1730115569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636324",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636324",
"telephone_number": "859-301-9010",
"fax_number": "859-301-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-301-9010",
"fax_number": "859-301-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHARDT",
"first_name": "BRIAN",
"middle_name": "RUSCHMAN",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3004382",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3004382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78013000",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3037672",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.