Maureen Burdett, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

29105 Issued in SC

Practice address

199 S Herlong Ave
Rock Hill, SC 29732

Phone

(803) 324-1800

Fax

(803) 328-3831

NPI assigned

May 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

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.

• Gaffney Hma Physician Management, LLC

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1720061278

  Surgery

  NPD (past)
• Keystone Behavioral Health

  • Community/Behavioral Health Agency
  • Rock Hill, SC
  • NPI 1255334009
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1912954595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321186",
            "telephone_number": "803-324-1800",
            "fax_number": "803-328-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S HERLONG AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-324-1800",
            "fax_number": "803-328-3831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 Chesnee Hwy",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Gaffney",
            "state": "SC",
            "postal_code": "293412709",
            "country_code": "US",
            "telephone_number": "864-487-7655",
            "fax_number": "864-487-0924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDETT",
        "first_name": "MAUREEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "29105",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "SC",
            "license": "29105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GAFFNEY HMA PHYSICIAN MANAGEMENT",
            "identifier": "202660098",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MAUREEN BURDETT",
            "identifier": "20-2660098",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "DR. MAUREEN BURDETT",
            "identifier": "GP4558",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Bumgardner, APRN
• Janet C Bunch, MAC, CACII
• Janice Bunz
• David A Burack, MD
• Aaron M Burchett, LCSW-C
• Elizabeth Jane Burdick, LPC
• Latonya Pompey Burgess, MSW, LMSW
• Christine Burkhart
• Celina Marie Burles
• Catherine Marie Burnett, R.N.

• Addiction Medicine (Internal Medicine) Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Addiction Medicine (Internal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.