Active NPI
Brian Patrick Burke, MD
- Internal Medicine Physician
- Tigard, OR
National Provider Identifier
1790822625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD20480
- Practice address
- 9370 SW Greenburg Rd
Franklin BLDG, Ste 101
Tigard, OR 97223-5442 - Phone
- (503) 347-7366
- Fax
- (503) 477-6853
- NPI assigned
- Jan 31, 2007
- Last updated
- Nov 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD20480 | OR | Primary |
| Occupational Medicine Physician | 2083X0100X | MD20480 | OR |
Addresses
Primary practice location
9370 SW Greenburg Rd
Franklin BLDG, Ste 101
Tigard, OR 97223-5442
Mailing address
19365 SW 65TH Ave Ste 100
Tualatin, OR 97062-9196
Phone (503) 563-5382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20480 | OR | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Occupational Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Medicine Clinic/Center
- Tualatin, OR
- NPI 1215361928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1790822625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19365 SW 65TH AVE STE 100",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970629196",
"telephone_number": "503-563-5382",
"fax_number": "503-563-5392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9370 SW GREENBURG RD",
"address_2": "FRANKLIN BLDG, STE 101",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235442",
"telephone_number": "503-347-7366",
"fax_number": "503-477-6853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "BRIAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD20480",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "OR",
"license": "MD20480",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.