Individual provider Active NPI

Max Andrew Burkett, NP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1982966867
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-054443 Issued in AL
Practice address
3287 Malcolm Dr
Montgomery, AL 36116-8816
Phone
(334) 356-9970
Fax
(334) 356-9873
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-054443 AL Primary

Addresses

Primary practice location

3287 Malcolm Dr
Montgomery, AL 36116-8816

Mailing address

3287 Malcolm Dr
Montgomery, AL 36116-8816
Phone (334) 356-9970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120822000248 AL Practitioner - Nurse Practitioner 3870740137 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-054443ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Nov 7, 2016 Accepting new patients
HCC Health Solutions Inc. CurrentSince Sep 18, 2013 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Current Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs CurrentSince Nov 7, 2016 Accepting new patients
Health Star Inc Past Accepting new patients
Health Star North Inc PastSince Oct 6, 2019 Accepting new patients
Pmcoa Family Past Accepting new patients

Locations

2055 E South Blvd
Ste 308
Montgomery, AL 36116
Phone (334) 286-2390

3283 Malcolm Dr
Montgomery, AL 36116
Phone (334) 202-2680

3283 Malcolm Dr
Ste 100
Montgomery, AL 36116
Phone (334) 356-9970

2055 E South Blvd
Ste 200
Montgomery, AL 36116
Phone (334) 284-5211

301 Brown Springs Rd
Montgomery, AL 36117
Phone (334) 273-4159

1595 E Main St
Prattville, AL 36066
Phone (334) 361-3171

2441 Cobbs Ford Rd
Prattville, AL 36066
Phone (334) 491-1111

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1982966867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3287 MALCOLM DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361168816",
            "telephone_number": "334-356-9970",
            "fax_number": "334-356-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3287 MALCOLM DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361168816",
            "telephone_number": "334-356-9970",
            "fax_number": "334-356-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "MAX",
        "middle_name": "ANDREW",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-054443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.