Robert Glenn Burdine, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN134298 Issued in AZ

Practice address

4TH & Inner Loop
Ft. Irwin, CA 92310-5109

Phone

(928) 328-3020

NPI assigned

Nov 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1922289024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3531",
            "city": "YUMA PROVING GROUND",
            "state": "AZ",
            "postal_code": "853650911",
            "telephone_number": "928-328-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH & INNER LOOP",
            "city": "FT. IRWIN",
            "state": "CA",
            "postal_code": "923105109",
            "telephone_number": "928-328-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDINE",
        "first_name": "ROBERT",
        "middle_name": "GLENN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN134298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Broedel, RN
• Brinley Arlene Brown, OT
• Leanna Jay Brown, RN
• Katie A Bull, OTD, OTR/L
• Teea Rene Bunker, DO
• Tanya Renee Burns, WHNP
• Lynda H Busdosh, RDH
• Alma Belen Cabradilla, BSN, RN
• Albert Camacho
• Jeffrey Jay Capelle, O.D.

• Registered Nurse in Ft. Irwin, CA
• Providers in Ft. Irwin, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.