Michael Roger Burgdorf, M.D., M.P.H.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

44838 Issued in TN

Practice address

3803 Bedford Ave
Suite 102
Nashville, TN 37215-2505

Phone

(615) 567-5716

Fax

(615) 567-5723

NPI assigned

Jun 1, 2007

Last updated

Nov 5, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Music City Plastic Surgery,PLLC

  • Plastic Surgery Physician
  • Franklin, TN
  • NPI 1578836474
  Authorized official Same address or phone
• Middle Tennessee Plastic Surgery, P.C.

  • Plastic Surgery Physician
  • Murfreesboro, TN
  • NPI 1275716680
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1841492931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 BEDFORD AVE",
            "address_2": "SUITE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152505",
            "telephone_number": "615-567-5716",
            "fax_number": "615-567-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 BEDFORD AVE",
            "address_2": "SUITE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152505",
            "telephone_number": "615-567-5716",
            "fax_number": "615-567-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGDORF",
        "first_name": "MICHAEL",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "44838",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TN",
            "license": "44838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Burd, LMT
• Kailey Burdette
• Rachel Ann Burdick, MD
• Lauren Burgan
• Casey Burgdorf, MD
• Daisy Burgeis, E-RYT
• Mary Candice Burger, PHD
• Matthew Burger, MD
• Anissa Burgess, D.D.S.
• Emily C Burgess, DC, RN

• Plastic and Reconstructive Surgery Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Plastic and Reconstructive Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.