Active NPI
John W McBurney, MD
- Neurology Physician
- Greenville, SC
National Provider Identifier
1841252525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 22053
- Practice address
- Bon Secours Neurology
801 Roper Creek Drive
Greenville, SC 29615-6938 - Phone
- (864) 516-1170
- Fax
- (877) 249-9483
- NPI assigned
- Apr 6, 2006
- Last updated
- Aug 9, 2018
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 22053 | SC | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 22053 | SC |
Addresses
Primary practice location
Bon Secours Neurology
801 Roper Creek Drive
Greenville, SC 29615-6938
Mailing address
PO Box 743294
Atlanta, GA 30374-3294
Phone (505) 272-3100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2038845 | Medicaid | WA | |
| T63222 | Medicaid | SC | |
| 500675047 | Medicaid | OR | |
| P00822413 | Other | SC | RR MEDICARE |
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 |
|---|---|---|---|
| 22053 | SC | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Physician Services Inc | Past | Accepting new patients | |
| High Desert Neurology | Neurology With Special Qualifications in Child Neurology | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Neurology with Special Qualifications in Child Neurology Physician
- Rio Rancho, NM
- NPI 1487754735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1841252525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743294",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743294",
"telephone_number": "505-272-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BON SECOURS NEUROLOGY",
"address_2": "801 ROPER CREEK DRIVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296156938",
"telephone_number": "864-516-1170",
"fax_number": "877-249-9483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBURNEY",
"first_name": "JOHN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "22053",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "SC",
"license": "22053",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2038845",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T63222",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500675047",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00822413",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.