Charles C Burke, M. D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

058876 Issued in GA

Practice address

1008 N. 3Rd Ave
Chatsworth, GA 30705-2029

Phone

(718) 471-0700

Fax

(718) 471-0055

NPI assigned

Aug 10, 2006

Last updated

Sep 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• CMC Radiological Services PC

  dba St Vincents Catholic Medical Center

  • Diagnostic Radiology Physician
  • Elmhurst, NY
  • NPI 1093851990
  NPD (past)
• CMC Radiological Services PC

  dba St Vincents Catholic Medical Center

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1891706768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 540",
            "city": "MORGANTON",
            "state": "GA",
            "postal_code": "305600540",
            "telephone_number": "706-374-6898",
            "fax_number": "706-374-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 N. 3RD AVE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052029",
            "telephone_number": "718-471-0700",
            "fax_number": "718-471-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "CHARLES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "152906",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "058876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Rose Brock, FNP-C
• James M Brown, MD
• Mary Elizabeth Brown, D.P.T.
• Dana Whitfield Buchli, M.S. CCC-SLP
• Shelby Renee Bundrum
• C-Worth Family Walk-in Clinic
• C-Worth Family Walk-in Clinic
• C-Worth Family Walk-in Clinic, LLC
• Macie Rebekah Cable
• Charles Allen Callaway, R.PH, O.D.

• Internal Medicine Physician in Chatsworth, GA
• Providers in Chatsworth, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.