Active NPI
Donald C Burr, M.D.
- Diagnostic Radiology Physician
- Pinckneyville, IL
National Provider Identifier
1942216627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Practice address
- 101 N Walnut St
Pinckneyville, IL 62274-1034 - Phone
- (618) 357-2187
- NPI assigned
- Aug 1, 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | IL | ||
| Neuroradiology Physician | 2085N0700X | IL | ||
| Nuclear Radiology Physician | 2085N0904X | IL | ||
| Pediatric Radiology Physician | 2085P0229X | IL | ||
| Diagnostic Radiology Physician | 2085R0202X | IL | Primary | |
| Vascular & Interventional Radiology Physician | 2085R0204X | IL | ||
| Diagnostic Ultrasound Physician | 2085U0001X | IL |
Addresses
Primary practice location
101 N Walnut St
Pinckneyville, IL 62274-1034
Mailing address
PO Box 289
Nashville, IL 62263-0289
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07315815 | Other | IL | BLUE SHIELD |
| 04100096 | Other | IL | BLUE SHIELD |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036044144 | IL | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald C. Burr Radiologist | Pediatric Radiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Pinckneyville, IL
- NPI 1730195421
Pediatric Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1942216627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 289",
"city": "NASHVILLE",
"state": "IL",
"postal_code": "622630289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N WALNUT ST",
"city": "PINCKNEYVILLE",
"state": "IL",
"postal_code": "622741034",
"telephone_number": "618-357-2187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURR",
"first_name": "DONALD",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "07315815",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "04100096",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinckneyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.