Active NPI
Brian Patrick Durkin, PA-C, A.T.C.
- Surgical Physician Assistant
- Syracuse, NY
National Provider Identifier
1750487138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 008984
- Practice address
- 750 E Adams St
4400 University Hospital
Syracuse, NY 13210-2306 - Phone
- (315) 464-8987
- NPI assigned
- Sep 15, 2006
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 008984 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
4400 University Hospital
Syracuse, NY 13210-2306
Mailing address
4551 Providence Rd
Jamesville, NY 13078-9806
Phone (315) 492-2830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suny Health Science Center at Syracuse | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Surgical | Current | Accepting new patients |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
750 E Adams St
#4400
Syracuse, NY 13210
Phone (315) 464-8987
Interoperability endpoints
- bdurkin6339@direct.upstate.edu
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1184974529
Surgical
-
- Pharmacy
- Syracuse, NY
- NPI 1306567474
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750487138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4551 PROVIDENCE RD",
"city": "JAMESVILLE",
"state": "NY",
"postal_code": "130789806",
"telephone_number": "315-492-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"address_2": "4400 UNIVERSITY HOSPITAL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-8987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURKIN",
"first_name": "BRIAN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "PA-C, A.T.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "008984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.