Individual provider Active NPI

Timothy Martin Burkhart, M.D.

  • Occupational Medicine Physician
  • Cherry Point, NC
National Provider Identifier
1821218140
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
0101237081 Issued in VA
Practice address
Occupational Health Clinic, BLDG 3907
Naval Health Clinic
Cherry Point, NC 28533-0023
Phone
(524) 664-4022
NPI assigned
Apr 27, 2007
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PENDING OH
Aerospace Medicine Physician 2083A0100X 2023-01069 NC
Aerospace Medicine Physician 2083A0100X 0101237081 VA
Occupational Medicine Physician 2083X0100X 2023-01069 NC
Occupational Medicine Physician 2083X0100X 0101237081 VA Primary

Addresses

Primary practice location

Occupational Health Clinic, BLDG 3907
Naval Health Clinic
Cherry Point, NC 28533-0023

Mailing address

Occupational Health Clinic, BLDG 3907
Naval Health Clinic PSC Box 8023
Cherry Point, NC 28533-0023
Phone (252) 466-4402

Other identifiers 1

IdentifierTypeStateIssuer
0101237081OtherVASTATE MEDICAL LICENSE

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
PENDINGOHMDOptometrist
2023-01069NCMDOccupational Medicine Physician
0101237081VAMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1821218140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OCCUPATIONAL HEALTH CLINIC, BLDG 3907",
            "address_2": "NAVAL HEALTH CLINIC PSC BOX 8023",
            "city": "CHERRY POINT",
            "state": "NC",
            "postal_code": "285330023",
            "telephone_number": "252-466-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OCCUPATIONAL HEALTH CLINIC, BLDG 3907",
            "address_2": "NAVAL HEALTH CLINIC",
            "city": "CHERRY POINT",
            "state": "NC",
            "postal_code": "285330023",
            "telephone_number": "524-664-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "TIMOTHY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NC",
            "license": "2023-01069",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101237081",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NC",
            "license": "2023-01069",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "VA",
            "license": "0101237081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "0101237081",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.