John S. Burr, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Normal, IL
NPI 1770535940 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770535940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- Practice address
- 1302 Franklin Ave
#2200
Normal, IL 61761-3551 - Phone
- (309) 662-9631
- Fax
- (309) 662-4706
- NPI assigned
- May 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Perelman School of Med at the University of Pennsylvania, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carle West Physician Group Inc
Carle Health Care Incorporated
Practice addresses (Care Compare)
1302 Franklin Ave
Suite 3400
Normal, IL 61761-6523
Phone (309) 556-8295
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Bromenn Medical Center
- Warner Hospital and Health Services
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20040827000244 | IL | Practitioner - Pulmonary Disease |
0840265518 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-091555 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Eureka Hospital | Current | Accepting new patients | |
| Carle Health Care Incorporated | Pulmonary Disease | Current |
Accepting new patients |
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Christian Hospital Northeast- Northwest | Past | Accepting new patients | |
| Bromenn Healthcare, Inc. | Past | Accepting new patients |
Locations
3024 E Empire St
Bloomington, IL 61704
Phone (309) 556-7500
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
2204 Eastland Dr
Ste 100
Bloomington, IL 61704
Phone (309) 661-6997
3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352
29373 Network Pl
Chicago, IL 60673
101 S Major St
Eureka, IL 61530
Phone (309) 268-2172
911 S Chestnut St
Le Roy, IL 61752
Phone (309) 365-8608
1302 Franklin Ave
Ste 4500
Normal, IL 61761
Phone (309) 556-8300
1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590
1302 Franklin Ave
Ste 2200
Normal, IL 61761
Phone (309) 662-9631
1302 Franklin Ave
Ste 3400
Normal, IL 61761
Phone (309) 451-9595
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | IL | Yes |
Addresses
Primary practice location
1302 Franklin Ave
#2200
Normal, IL 61761-3551
Mailing address
1302 Franklin Ave
#2200
Normal, IL 61761-3551
Phone (309) 662-9631
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05732097 | Other | IL | BC GROUP NUMBER |
| 094351 | Other | IL | HEALTH ALLIANCE |
Other providers in Normal, IL
- Jennifer Marie Burge
- Sara Burge
- Heather Lenae Burnett
- Julie Thomson Burns
- Cheryl Denise Burr
- Kathleen Ann Bush
- Andrew Button
- Tara Campbell
- Carlos P Capati
- Nicholas Caporale
All providers in Normal, IL · Pulmonary Disease Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.