Individual provider Active NPI

David Lawrence Burk, M.D.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1912989831
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME89839 Issued in FL
Practice address
2713 Winton Rd
Durham, NC 27707-3864
Phone
(919) 599-3515
Fax
(919) 286-9595
NPI assigned
Nov 16, 2005
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 40765 AZ
Diagnostic Radiology Physician 2085R0202X ME89839 FL Primary

Addresses

Primary practice location

2713 Winton Rd
Durham, NC 27707-3864

Mailing address

2713 Winton Rd
Durham, NC 27707-3864
Phone (919) 599-3515

Other practice location 1

629A E Hillsboro Blvd
Deerfield Beach, FL 33441-3517
Phone (954) 698-9399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP520KYMDInfectious Disease Physician
40765AZMDDiagnostic Radiology Physician
ME89839FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Davie Urgent Care LLC Past Accepting new patients
Southwest Medical Imaging PA Diagnostic Radiology Past Accepting new patients
Paradise Valley Family Medicine, PC Family Medicine PastSince Jan 1, 2001 Accepting new patients
Desert Valley Radiology, PLC Diagnostic Radiology Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBCHBA

Organizations & group practices 4

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1912989831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 WINTON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073864",
            "telephone_number": "919-599-3515",
            "fax_number": "919-286-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 WINTON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073864",
            "telephone_number": "919-599-3515",
            "fax_number": "919-286-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629A E Hillsboro Blvd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334413517",
            "country_code": "US",
            "telephone_number": "954-698-9399",
            "fax_number": "954-698-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURK",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "40765",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME89839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.