John E Buerkert, MD
Individual provider Active NPI Specialist · Columbia, SC
NPI 1831164508 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1831164508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 15687 (SC)
- Practice address
- 121 Park Central Dr
Suite 200
Columbia, SC 29203-6469 - Phone
- (803) 252-9907
- Fax
- (803) 252-9906
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 15687 | SC | Yes |
Addresses
Primary practice location
121 Park Central Dr
Suite 200
Columbia, SC 29203-6469
Mailing address
121 Park Central Dr
Suite 200
Columbia, SC 29203-6469
Phone (803) 252-9907
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL5689 | Medicaid | SC |
Other providers in Columbia, SC
- Jacqueline Griffo Buckland
- John J Buckland
- Whitney Renee Wise Buckland
- Krystle Buckner
- Camilla Devi Buddhu
- Shawn Buford
- Tatiana Bufton
- Shannon Bui
- Nicole Buie
- Building Resilience Counseling & Wellness, LLC
All providers in Columbia, SC · Specialist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.