Active NPI
Andrew D Burch Sr., M.D.
- Surgery Physician
- Mobile, AL
National Provider Identifier
1891750576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2893
- Practice address
- 6701 Airport Blvd
Suite B217
Mobile, AL 36608-6705 - Phone
- (251) 633-8881
- Fax
- (251) 633-0467
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2893 | AL | Primary |
Addresses
Primary practice location
6701 Airport Blvd
Suite B217
Mobile, AL 36608-6705
Mailing address
6701 Airport Blvd
Suite B217
Mobile, AL 36608-6705
Phone (251) 633-8881
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11209124 | Other | AL | CAQH |
| 000000820 | Medicaid | AL | |
| 020038950 | Other | AL | RAILROAD MEDICARE |
| 51000820 | Other | AL | BLUE CROSS BLUE SHEILD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2893 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Infirmary Association | Current | Accepting new patients | |
| Mobile Infirmary Association | Current | Accepting new patients | |
| Gulf Regional Pathologists PA | Current | Accepting new patients |
Locations
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
- Specialist
- Mobile, AL
- NPI 1588776108
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1740021476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1891750576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 AIRPORT BLVD",
"address_2": "SUITE B217",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086705",
"telephone_number": "251-633-8881",
"fax_number": "251-633-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 AIRPORT BLVD",
"address_2": "SUITE B217",
"city": "MOBILE",
"state": "AL",
"postal_code": "366086705",
"telephone_number": "251-633-8881",
"fax_number": "251-633-0467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "ANDREW",
"middle_name": "D",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "2893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11209124",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000820",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020038950",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "51000820",
"state": "AL"
}
],
"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 Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.