Individual provider Active NPI

Patrick C Burke, MD

  • Family Medicine Physician
  • Morris, MN
National Provider Identifier
1831102995
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30655 Issued in MN
Practice address
400 East First Street
Morris, MN 56267-0660
Phone
(320) 589-1313
Fax
(320) 589-3533
NPI assigned
Aug 13, 2006
Last updated
Nov 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30655 MN Primary

Addresses

Primary practice location

400 East First Street
Morris, MN 56267-0660

Mailing address

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100114000382 MN Practitioner - Family Practice 7416098397 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30655MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Community Medical Center Inc. CurrentSince Sep 15, 1994 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Sep 15, 1994 Accepting new patients

Locations

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

501 Poler St
Starbuck, MN 56381
Phone (320) 239-3939

Interoperability endpoints

  • Direct secure messaging: pburke421247@direct.centracare.com

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1831102995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-1313",
            "fax_number": "320-589-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 EAST FIRST STREET",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562670660",
            "telephone_number": "320-589-1313",
            "fax_number": "320-589-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "PATRICK",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "30655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, MN

Sources for this page

Verify at the official NPI Registry.