Mark L Burtman

Primary specialty

SpecialistTaxonomy code 174400000X

License

18110 Issued in MS

Legal business name

MARK L BURTMAN

Practice address

505 Willowbrook Rd
Columbus, MS 39705-2016

Phone

(662) 329-9191

Fax

(662) 329-9194

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark L Burtman, M.D.NPI 1790752681

Title

Dr.

Phone

(662) 329-9191

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark L Burtman, M.D.

  • Specialist
  • Columbus, MS
  • NPI 1790752681
  NPD (past) Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1861688046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WILLOWBROOK RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052016",
            "telephone_number": "662-329-9191",
            "fax_number": "662-329-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WILLOWBROOK RD",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052016",
            "telephone_number": "662-329-9191",
            "fax_number": "662-329-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L BURTMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "BURTMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "662-329-9191",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "18110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Long Manasco, M.S., CCC-SLP
• Jeanette Manning, CADAC
• Patti Manning, MD
• Danett Maples, M.D.
• Maria Theresa Marinari, LPC
• Zachary Gray Marro, ATC
• Vanessa Marguerite Marshall
• James Ray Martin Jr., MD
• Robert Martin III, PHARM.D.
• Tess Martin

• Specialist in Columbus, MS
• Providers in Columbus, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.