NPIMap

Individual provider Active NPI

Bruce D Burstein, M.D.

  • Emergency Medicine Physician
  • Melbourne, FL
National Provider Identifier
1790716371
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME0070595 Issued in FL
Practice address
2080 W Eau Gallie Blvd
Suite a
Melbourne, FL 32935-3185
Phone
(321) 254-6218
Fax
(321) 254-6230
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME0070595 FL Primary

Addresses

Primary practice location

2080 W Eau Gallie Blvd
Suite a
Melbourne, FL 32935-3185

Mailing address

2080 W Eau Gallie Blvd
Suite a
Melbourne, FL 32935-3185
Phone (321) 254-6218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, SC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041006000856 FL Practitioner - Emergency Medicine 0648239509 Reassigns benefits to 5 organizations
I20241217000883 TX Practitioner - Emergency Medicine 0648239509 Reassigns benefits to 3 organizations
I20260326001218 SC Practitioner - Emergency Medicine 0648239509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

1451 El Camino Real
The Villages, FL 32159-0041
Phone (352) 751-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0070595FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bittern Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Nov 25, 2024 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Bittern Emergency Physicians, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Lake Oliver Emergency Group, LLC Emergency Medicine CurrentSince Nov 25, 2024 Accepting new patients
Lawton Indian Hospital CurrentSince Mar 24, 2025 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Brevard Emergency Services Emergency Medicine Past Accepting new patients
Space Coast Health Care Services Past Accepting new patients
Martin Memorial Medical Center Inc Past Accepting new patients

Locations

16257 State Road 71 S
Blountstown, FL 32424
Phone (850) 674-5411

20370 NE Burns Ave
Blountstown, FL 32424
Phone (850) 237-3000

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

Networks

  • Freedom Health HMO Network

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790716371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 W EAU GALLIE BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353185",
            "telephone_number": "321-254-6218",
            "fax_number": "321-254-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 W EAU GALLIE BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353185",
            "telephone_number": "321-254-6218",
            "fax_number": "321-254-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSTEIN",
        "first_name": "BRUCE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0070595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.