Bruce D Burstein, M.D.
Individual provider Active NPI Emergency Medicine Physician · Melbourne, FL
NPI 1790716371 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790716371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- ME0070595 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paragon Emergency Services LLC
Practice addresses (Care Compare)
1451 El Camino Real
The Villages, FL 32159-0041
Phone (352) 751-8000
Hospital & facility affiliations
- HCA Florida Capital Hospital
- HCA Florida Memorial Hospital
- Standing Rock Service Unit
- Calhoun-Liberty Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in FL, TX, SC
- 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 |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0070595 | FL | MD | Emergency Medicine Physician |
Practice roles (11 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bittern Emergency Physicians, LLC | Emergency Medicine | Current |
Accepting new patients |
| Lawton Indian Hospital | Current |
Accepting new patients | |
| Paragon Emergency Services LLC | Emergency Medicine | Current |
Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current |
Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Current |
Accepting new patients |
| Lake Oliver Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Bittern Emergency Physicians, LLC | Emergency Medicine | Current |
Accepting new patients |
| Lake Oliver Emergency Group, LLC | Emergency Medicine | Current |
Accepting new patients |
| Space Coast Health Care Services | Past | Accepting new patients | |
| Brevard Emergency Services | Emergency Medicine | 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
2100 SE Salerno Rd
Stuart, FL 34997
Phone (772) 223-2300
200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME0070595 | FL | Yes |
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
Other providers in Melbourne, FL
- Robert L Burns Jr.
- Alexia A Burr
- Joan Burritt
- Richard Austin Burrows
- Kathryn Burstall
- Joseph Mathew Burton
- Judy Lynn Buse
- Brandie Busse
- Tiesha Shekita Butler-Williams
- Megan Butler
All providers in Melbourne, FL · Emergency Medicine Physician in Florida
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.