Active NPI
Timothy Burggraf, NP
- Family Nurse Practitioner
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704286839
- Practice address
- 26677 W 12 Mile Rd
Southfield, MI 48034-1514 - Phone
- (313) 306-2023
- NPI assigned
- Mar 12, 2020
- Last updated
- Apr 19, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704286839 | MI | Primary |
Addresses
Primary practice location
26677 W 12 Mile Rd
Southfield, MI 48034-1514
Mailing address
200 Michael Ave
Shepherd, MI 48883-9060
Other practice location 1
300 E Warwick Dr
Alma, MI 48801-1096
Phone (989) 463-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Wellness Dr
Midland, MI 48670-0001
Phone (989) 839-1644
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| West Branch Regional Medical Center | Current | Accepting new patients | |
| Mymichigan Medical Group | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Group | Current | Accepting new patients |
Locations
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000
609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371
815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250
4851 E Pickard St
Ste 1000
Mt Pleasant, MI 48858
Phone (989) 956-9069
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
Interoperability endpoints
- ms_tburggra@landmarkhealth-direct.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Midland, MI
- NPI 1740230127
-
- Multi-Specialty Clinic/Center
- Midland, MI
- NPI 1205889490
-
dba MyMichigan Family Medicine
- Rural Health Clinic/Center
- Alpena, MI
- NPI 1144722604
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
- Internal Medicine Physician
- Midland, MI
- NPI 1629027669
-
- Rural Acute Care Hospital
- West Branch, MI
- NPI 1396732103
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alma, MI
- NPI 1023097771
-
- General Acute Care Hospital
- Clare, MI
- NPI 1568414589
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1740815547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MICHAEL AVE",
"city": "SHEPHERD",
"state": "MI",
"postal_code": "488839060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26677 W 12 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341514",
"telephone_number": "313-306-2023"
}
],
"practiceLocations": [
{
"address_1": "300 E Warwick Dr",
"address_purpose": "LOCATION",
"city": "Alma",
"state": "MI",
"postal_code": "488011096",
"country_code": "US",
"telephone_number": "989-463-1101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURGGRAF",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-12",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704286839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.