Silver State Spinecare Forrest Burke MD a Professional Corp

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

8968 Issued in NV

Legal business name

SILVER STATE SPINECARE FORREST BURKE MD A PROFESSIONAL CORP

Doing business as

Silver State Spinecare

Practice address

1055 Roberta LN
103
Sparks, NV 89431-1893

Phone

(775) 331-2600

Fax

(775) 331-2605

NPI assigned

Dec 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Forrest Burke, MD

Title

Owner

Phone

(775) 331-2600

Specialties & licenses 1

Addresses

Other names 1

• Silver State Spinecare Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1740348143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 ROBERTA LN",
            "address_2": "103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311893",
            "telephone_number": "775-331-2600",
            "fax_number": "775-331-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ROBERTA LN",
            "address_2": "103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311893",
            "telephone_number": "775-331-2600",
            "fax_number": "775-331-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER STATE SPINECARE FORREST BURKE MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-331-2600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "8968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver State Spinecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Medicine & Rehabilitation Physician in Sparks, NV
• Providers in Sparks, NV by specialty
• Physical Medicine & Rehabilitation Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.