Brenda J. Burke, DO
Individual provider Active NPI Rheumatology Physician · Newport, RI
NPI 1992702138 · NPPES record last updated Jan 30, 2012
Key facts
- NPI
- 1992702138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- DO 00575 (RI)
- Practice address
- 19 Friendship St
Suite 150
Newport, RI 02840-2200 - Phone
- (401) 845-4332
- Fax
- (401) 848-6084
- NPI assigned
- Jul 1, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of New England, College of Osteo Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Orthopedics Rhode Island Inc
Practice addresses (Care Compare)
300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000
Hospital & facility affiliations
- The Miriam Hospital
- Newport Hospital
- Southcoast Hospitals Group
- South County Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040823000048 | RI | Practitioner - Internal Medicine |
7012981475 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO 00575 | RI | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedics Rhode Island, Inc | Current | Accepting new patients | |
| Orthopedics Rhode Island, Inc | Current |
Accepting new patients | |
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Orthopedics Rhode Island, Inc | Current |
Accepting new patients | |
| Lifespan Physician Group, Inc. | Current |
Accepting new patients |
Locations
1454 S County Trl
East Greenwich, RI 02818
Phone (401) 606-1100
19 Friendship St
Unit 130
Newport, RI 02840
Phone (401) 845-1474
19 Friendship St
Unit 150
Newport, RI 02840
Phone (401) 848-6042
19 Friendship St
Unit 300
Newport, RI 02840
Phone (401) 324-6061
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
588 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 722-2400
79 Turnpike Ave
Portsmouth, RI 02871
Phone (401) 683-7434
200 Crossings Blvd
Ste 310
Warwick, RI 02886
300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | DO 00575 | RI | Yes |
Addresses
Primary practice location
19 Friendship St
Suite 150
Newport, RI 02840-2200
Mailing address
19 Friendship St
Suite 150
Newport, RI 02840-2200
Phone (401) 845-4332
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7056546 | Medicaid | RI | |
| 411896 | Other | RI | RI BLUE CHIP |
| 27785-7 | Other | RI | RI BC/BS |
Other providers in Newport, RI
- Vania Louisa Brown-Small
- Grace Brown
- Sheri A Brown
- Carrie Lee Burger
- Robert Leo Burgess
- Gina Anne Butler
- Judith Anne Byrnes
- Donna Distefano Byron
- Karen L Cadwalader
- Susan Caldwell
All providers in Newport, RI · Rheumatology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.