Individual provider Active NPI

F Brandon Burger, D.D.S.

  • Dentist
  • Hermitage, TN
National Provider Identifier
1811175243
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS8375 Issued in TN
Practice address
3515 Central Pike
Suite 204
Hermitage, TN 37076-2029
Phone
(615) 889-8202
Fax
(615) 883-8565
NPI assigned
Feb 7, 2008
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS8375 TN Primary

Addresses

Primary practice location

3515 Central Pike
Suite 204
Hermitage, TN 37076-2029

Mailing address

3515 Central Pike
Suite 204
Hermitage, TN 37076
Phone (615) 889-8202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621000116 TN Order and Referring Only - DentistPractitioner - Dentist 0345531414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS8375TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Daniel Hixon Dentist Past Accepting new patients
On Call Dental Nashville Dentist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1811175243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 CENTRAL PIKE",
            "address_2": "SUITE 204",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "37076",
            "telephone_number": "615-889-8202",
            "fax_number": "615-883-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 CENTRAL PIKE",
            "address_2": "SUITE 204",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762029",
            "telephone_number": "615-889-8202",
            "fax_number": "615-883-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGER",
        "first_name": "F",
        "middle_name": "BRANDON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS8375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.