Bryant P. Burkett DDS, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRYANT P. BURKETT DDS, LLC

Practice address

5310 Pearl Dr Ste C
Evansville, IN 47712-8105

Phone

(812) 422-1135

NPI assigned

Aug 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Bryant P Burkett, DDSNPI 1245619477

Title

Dentist

Phone

(765) 561-4495

Specialties & licenses 1

Addresses

Tax ID family

Bryant P Burkett DDS LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bryant P. Burkett DDS, LLC

  • Dentist
  • Evansville, IN
  • NPI 1467206938
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryant Parker Burkett, D.D.S.

  • General Practice Dentistry
  • Evansville, IN
  • NPI 1245619477
  NPD Authorized official

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1790398451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 PEARL DR STE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477128105",
            "telephone_number": "812-422-1135",
            "fax_number": "812-422-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 PEARL DR STE C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477128105",
            "telephone_number": "812-422-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT P. BURKETT DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "765-561-4495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Beth Brust, R.N.
• John Philip Bryan, PA-C
• Tiffany Bryan, ED. S.
• Bryant a. Bloss M.D. Orthopaedics
• Bryant P. Burkett DDS, LLC
• Gloria J Bryant, LCSW ACSW
• Grace A Bryant, PA-C
• Shari W Bryant, NP
• Corinne Buchanan
• Meredith Buchanan

• All providers in Evansville, IN
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.