NPIMap

Individual provider Active NPI

Julie L Burdin, MD

  • Family Medicine Physician
  • Macon, MO
National Provider Identifier
1952340663
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2000161370 Issued in MO
Practice address
1201 N Rutherford St
Macon, MO 63552-2020
Phone
(660) 385-8900
Fax
(660) 385-8708
NPI assigned
Jun 6, 2006
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2000161370 MO Primary

Addresses

Primary practice location

1201 N Rutherford St
Macon, MO 63552-2020

Mailing address

1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700

Other identifiers 1

IdentifierTypeStateIssuer
205853807MedicaidMO

Other names 1

  • Julie L Murphy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000245 MO Practitioner - Family Practice 7416088448 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macon County Samaritan HospitalGroup PAC ID 1456261395, shared by 3 NPIs, 36 clinicians

Practice addresses (Care Compare)

1201 N Rutherford St
Macon, MO 63552-2020
Phone (660) 385-8700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2000161370MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macon County Samaritan Hospital CurrentSince Aug 1, 2003 Accepting new patients
Macon County Samaritan Hospital CurrentSince Aug 1, 2003 Accepting new patients
Macon County Nursing Home District Past Accepting new patients
Macon County Samaritan Hospital Past Accepting new patients
Macon County Samaritan Hospital Past Accepting new patients
CH Allied Services, Inc Past Accepting new patients

Locations

1201 N Rutherford St
Macon, MO 63552
Phone (660) 385-8700

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

Organizations & group practices 6

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1952340663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N MISSOURI ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522095",
            "telephone_number": "660-385-8700",
            "fax_number": "660-385-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N RUTHERFORD ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522020",
            "telephone_number": "660-385-8900",
            "fax_number": "660-385-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDIN",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD2000161370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205853807",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MURPHY",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, MO

Sources for this page

Verify at the official NPI Registry.