Active NPI
Mikhail M Burdman, DC
- Chiropractor
- Baltimore, MD
National Provider Identifier
1851637094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03720
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528855ZWH0 | Other | MD | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| S03720 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rxwellness Spine & Health - Laurel | Chiropractor | Current | Accepting new patients |
| Rxwellness Spine & Health - Bowie | Chiropractor | Current | 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.