Individual provider Active NPI

Mikhail M Burdman, DC

  • Chiropractor
  • Baltimore, MD
National Provider Identifier
1851637094
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03720 Issued in MD
Practice address
4300 Belair Rd Ste a
Baltimore, MD 21206-6300
Phone
(410) 325-2100
Fax
(410) 630-5130
NPI assigned
Dec 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03720 MD Primary

Addresses

Primary practice location

4300 Belair Rd Ste a
Baltimore, MD 21206-6300

Mailing address

4300 Belair Rd Ste a
Baltimore, MD 21206-6300
Phone (410) 325-2100

Other identifiers 1

IdentifierTypeStateIssuer
528855ZWH0OtherMDPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250826004901 DC Practitioner - Chiropractic 8729233960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 Hope Rd
Suite 111 292
Stafford, VA 22554-7287

PO Box
Chicago, IL 60675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03720MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rxwellness Spine & Health - Laurel Chiropractor CurrentSince Jun 13, 2025 Accepting new patients
Rxwellness Spine & Health - Bowie Chiropractor CurrentSince Jun 13, 2025 Accepting new patients

Locations

4345 Northview Dr
Bowie, MD 20716
Phone (301) 464-5656

525 Main St
Ste 105
Laurel, MD 20707
Phone (301) 725-6884

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1851637094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BELAIR RD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066300",
            "telephone_number": "410-325-2100",
            "fax_number": "410-630-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BELAIR RD STE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212066300",
            "telephone_number": "410-325-2100",
            "fax_number": "410-630-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDMAN",
        "first_name": "MIKHAIL",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-17",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "528855ZWH0",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.