Mackenzie Burke
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Brooklyn, MI
NPI 1992670574 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1992670574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 119 Bingham Dr
Brooklyn, MI 49230-8926 - Phone
- (248) 928-6343
- NPI assigned
- Oct 6, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
119 Bingham Dr
Brooklyn, MI 49230-8926
Mailing address
119 Bingham Dr
Brooklyn, MI 49230-8926
Other providers in Brooklyn, MI
- Brooklyn Family Dentistry, P.C.
- Brzezinski Chiropractic, PLLC
- Bradley Brzezinski
- Burk Chiropractic PC
- Troy D. Burk
- Lisa Michele Cagle-Querfeld
- Storm A Caryl
- Rachel Celeskey
- Chelsea Professional Services
- Guy Young Cheng
All providers in Brooklyn, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.