Kevin Walter Burnham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

SC 1049FP Issued in SC

Practice address

24 E Main St
Williamston, SC 29697-1925

Phone

(864) 847-6020

NPI assigned

Sep 20, 2006

Last updated

Nov 2, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kevin.burnham.p1@direct.scdc.nextgenshare.com

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.

• Intercostal Nonsurgical Diagnostic Inc

  • Prevention Professional
  • Williamston, SC
  • NPI 1407397227
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1992803043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E MAIN ST",
            "city": "WILLIAMSTON",
            "state": "SC",
            "postal_code": "296971925",
            "telephone_number": "864-847-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E MAIN ST",
            "city": "WILLIAMSTON",
            "state": "SC",
            "postal_code": "296971925",
            "telephone_number": "864-847-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "KEVIN",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "SC 1049FP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PRACTICE/RX",
            "identifier": "SC 1049FP",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Chip Therapy
• Laurel Brooks Brown
• Luz Brown
• Stephanie Brown, SPED, LD, TSVI, COMS
• Lisa Bryant, APRN
• CBH of Anderson, Operating, LLC (Williamston Youth Academy)
• Complete Healing & Wellness Center P.a.
• Sarah Nicole Roper Cornell, FNP
• Amanda Cowart
• Robin Crawford, RN

• Physician Assistant in Williamston, SC
• Providers in Williamston, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.