Roger Andrew Burshe
Individual provider Active NPI Family Medicine Physician · Flint, TX
NPI 1992816540 · NPPES record last updated Jul 13, 2007
Key facts
- NPI
- 1992816540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K2861 (TX)
- Practice address
- 17911 County Road 134
Flint, TX 75762-3830 - Phone
- (903) 839-1394
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29026 | TX | MD | Dentist |
| K2861 | TX | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K2861 | TX | Yes |
Addresses
Primary practice location
17911 County Road 134
Flint, TX 75762-3830
Mailing address
17911 County Road 134
Flint, TX 75762-3830
Other providers in Flint, TX
- Ran Bolen
- Zane Boles
- Nancy M. Boone
- Eric William Brabon
- Brookshire Grocery Company
- Tamela Renae Callahan
- Y Huynnhu Chau
- Sarah Ann Clark
- Tamela Renee Clary
- Jasmine Cobb
All providers in Flint, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.