Active NPI
Barbara A. Burckhartt, MD
- Cardiovascular Disease Physician
- Mobile, AL
National Provider Identifier
1861442014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 16748
- Practice address
- 2451 Fillingim St
BLDG. C
Mobile, AL 36617-2238 - Phone
- (251) 445-8242
- Fax
- (251) 445-8250
- NPI assigned
- May 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 16748 | AL | Primary |
Addresses
Primary practice location
2451 Fillingim St
BLDG. C
Mobile, AL 36617-2238
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 445-8242
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009904845 | Medicaid | AL | |
| 009906905 | Medicaid | AL | |
| 1538558 | Medicaid | LA | |
| 00119629 | Medicaid | MS | |
| 51512534 | Other | AL | BCBS |
| 51518570 | Other | AL | BCBS |
| 25-10764 | Other | AL | UNITED HEALTHCARE |
| 265551900 | Medicaid | FL |
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 |
|---|---|---|---|
| 16748 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health - Mci Business Services LLC | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Current | Accepting new patients |
Locations
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
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.
-
- Hematology & Oncology Physician
- Mobile, AL
- NPI 1952972812
-
- Radiation Oncology Physician
- Mobile, AL
- NPI 1871150508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1861442014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40480",
"city": "MOBILE",
"state": "AL",
"postal_code": "366400480",
"telephone_number": "251-445-8242",
"fax_number": "251-445-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 FILLINGIM ST",
"address_2": "BLDG. C",
"city": "MOBILE",
"state": "AL",
"postal_code": "366172238",
"telephone_number": "251-445-8242",
"fax_number": "251-445-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCKHARTT",
"first_name": "BARBARA",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "16748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009904845",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009906905",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538558",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119629",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51512534",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51518570",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "25-10764",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265551900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.