Burgeoning Health Providers

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BURGEONING HEALTH PROVIDERS

Practice address

646 Massachusetts Ave
Indianapolis, IN 46204-1607

Phone

(317) 659-5095

Fax

(317) 350-0043

NPI assigned

Feb 18, 2020

Organization subpart

No

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

Authorized official

Name

Malinda Butler, NP-BC

Title

Manager

Phone

(317) 659-5905

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BURGEONING HEALTH PROVIDERS, LLC Other name

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631318400000",
    "number": "1972136919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 N ALABAMA ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462054320",
            "telephone_number": "317-659-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 MASSACHUSETTS AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041607",
            "telephone_number": "317-659-5095",
            "fax_number": "317-350-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGEONING HEALTH PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-659-5905",
        "authorized_official_credential": "NP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021924",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BURGEONING HEALTH PROVIDERS, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aaron Joel Burg, DO
• Claire Elizabeth Burgardt, MD
• Leah Burgdoefer, RBT
• Lillian Burge
• Vickie Lou Burge, DDS
• Burgeoning Home Care
• Burgeoning Residential Care LLC
• Aaron Michael Burger, RBT
• Zachary Burger, DPT
• Tamara Burgess-Bush, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.