Maureen Alice Burbage, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

TL33500 Issued in SC

Practice address

124 Mallard St
Greenville, SC 29601-4046

Phone

(864) 241-1040

NPI assigned

Oct 28, 2008

Last updated

Nov 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mburbage19682@direct.anmedhealth.net

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.

• Clemson Psychiatry, Inc.

  • Exclusive Provider Organization
  • Clemson, SC
  • NPI 1235410473
  NPD (past) Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1871746396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MALLARD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014046",
            "telephone_number": "864-241-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MALLARD ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014046",
            "telephone_number": "864-241-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBAGE",
        "first_name": "MAUREEN",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "TL33500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAL LICENSE",
            "identifier": "MD33500",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Reagan Bunch, PA-C
• Buncombe Street Pastoral Counseling Center
• Emily Grace Buncombe, OTD
• Adrienne Eubanks Bundrick
• Mary Bunnell, DPT
• Travis Burch, PHARM.D.
• Andre Burckhart, DO
• Michael John Burd, MS,LPCC, LPC
• Kristen Powell Burdette, FNP-C
• Sarah Marie Burdick, BCBA

• Psychiatry Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.