Individual provider Active NPI

Billy Carlton Burge, MD

  • Family Medicine Physician
  • Saco, ME
National Provider Identifier
1881709517
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J7313 Issued in TX
Practice address
655 Main St
Saco, ME 04072-1543
Phone
(207) 602-3571
Fax
(207) 602-3573
NPI assigned
Aug 21, 2006
Last updated
Sep 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X J7313 TX
Emergency Medicine Physician 207P00000X J7313 TX
Family Medicine Physician 207Q00000X J7313 TX Primary
Adult Medicine Physician 207QA0505X J7313 TX
Geriatric Medicine (Family Medicine) Physician 207QG0300X J7313 TX
Physical Medicine & Rehabilitation Physician 208100000X J7313 TX
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X J7313 TX
Public Health & General Preventive Medicine Physician 2083P0901X J7313 TX
Occupational Medicine Physician 2083X0100X J7313 TX
Hospitalist Physician 208M00000X J7313 TX
Legal Medicine (M.D./D.O.) Physician 209800000X J7313 TX

Addresses

Primary practice location

655 Main St
Saco, ME 04072-1543

Mailing address

PO Box 284
Brattleboro, VT 05302-0284
Phone (207) 602-3571

Other identifiers 1

IdentifierTypeStateIssuer
P081082J4MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000989 ME Practitioner - Family Practice 8224011036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of New EnglandGroup PAC ID 4284534868, 13 clinicians

Practice addresses (Care Compare)

11 Hills Beach Rd
Biddeford, ME 04005-9526
Phone (207) 602-2358

716 Stevens Ave
Portland, ME 04103-2656
Phone (207) 221-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J7313TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of New England Neuromusculoskeletal Medicine & Omm CurrentSince May 23, 2013 Accepting new patients
University of New England CurrentSince May 23, 2013 Accepting new patients
Northbridge Avita of Stroudwater II LLC Past Accepting new patients
Robert Marriott Medical Corp Past Accepting new patients
Inpatient Consultants of Texas, PLLC Family Medicine Past Accepting new patients
Community Medicine Associates Family Medicine PastSince Mar 22, 2020 Accepting new patients
Inpatient Consultants of Texas, PLLC. Family Medicine Past Accepting new patients
Glen Rose Medical Foundation Inc. Emergency Medicine Past Accepting new patients
Glen Rose Medical Foundation Emergency Medicine Past Accepting new patients

Locations

208 Graham St
Biddeford, ME 04005
Phone (207) 602-3571

340 Bath Rd
Brunswick, ME 04011
Phone (207) 442-9200

89 Admiral Fitch Ave
Brunswick, ME 04011
Phone (207) 729-0222

54 Gullivers Way
Portland, ME 04103
Phone (207) 602-2898

54 Gullivers Way
Rm 10251026
Portland, ME 04103
Phone (207) 602-3571

716 Stevens Ave
Portland, ME 04103
Phone (207) 221-4242

392 Main St
Saco, ME 04072
Phone (207) 284-0900

655 Main St
Saco, ME 04072
Phone (207) 283-1407

600 Commerce Dr
Scarborough, ME 04074
Phone (207) 730-6781

86 Sanford Rd
Wells, ME 04090
Phone (207) 646-3444

113 Landing Rd
Westbrook, ME 04092
Phone (207) 857-9007

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1881709517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020284",
            "telephone_number": "207-602-3571",
            "fax_number": "207-602-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721543",
            "telephone_number": "207-602-3571",
            "fax_number": "207-602-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGE",
        "first_name": "BILLY",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "J7313",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J7313",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J7313",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "J7313",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "J7313",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J7313",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "TX",
            "license": "J7313",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "J7313",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "J7313",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "J7313",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TX",
            "license": "J7313",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P081082J4",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.