Cathryn Burbidge, D.O.
Individual provider Active NPI Family Medicine Physician · MC Gregor, TX
NPI 1740298397 · NPPES record last updated Jan 5, 2010
Key facts
- NPI
- 1740298397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K9495 (TX)
- Practice address
- 27487 W Highway 84
MC Gregor, TX 76657-3717 - Phone
- (254) 848-7474
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health Alliance
Practice addresses (Care Compare)
7003 Woodway Dr
312 Providence Clinic Londonderry
Waco, TX 76712-6163
Phone (254) 772-7300
Hospital & facility affiliations
- Accentcare Home Health of Waco
- Bluebonnet Health Services of Waco
- Ascension at Home
- Ascension Providence
- Baylor Scott & White Medical Center Hillcrest
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040220000500 | TX | Practitioner - Family Practice | 0244125920 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health Alliance | Current |
Accepting new patients | |
| Providence Health Alliance | Current |
Accepting new patients | |
| Inpatient Medical Services, P.a. | Past | Accepting new patients | |
| Hillcrest Family Health Center | Family Medicine | Past |
Accepting new patients |
Locations
1507 W Main St
Gatesville, TX 76528
Phone (254) 865-8251
27487 W Highway 84
McGregor, TX 76657
Phone (254) 848-7474
6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000
301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200
7003 Woodway Dr
Ste 312
Waco, TX 76712
Phone (254) 772-7300
Interoperability endpoints
- cathryn.burbidge.1@9635.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K9495 | TX | Yes |
Addresses
Primary practice location
27487 W Highway 84
MC Gregor, TX 76657-3717
Mailing address
PO Box 20308
Waco, TX 76702-0308
Phone (254) 848-7474
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042306302 | Medicaid | TX | |
| 8F5616 | Other | TX | BLUE CROSS BLUE SHIELD |
| 00N59X | Other | BLUE CROSS BLUE SHIELD | |
| 8K4020 | Other | TX | BLUE CROSS BLUE SHIELD |
| 038623706 | Medicaid | TX | |
| 038623705 | Medicaid | TX |
Other providers in MC Gregor, TX
- Sam Baber
- Courtney Leggett Barlow
- Amy E. Brewer
- Brookshire Brothers Inc
- Kelsey Fritscher Brown
- Chambers County Public Hospital District No. 1
- Counseling and Consulting Associates of Central Texas
- Crawford Isd
- Tiffaney Crowder
- Dustin Kelm Therapy PLLC
All providers in MC Gregor, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.