Jesse Brian Burks in Little Rock - Podiatrist
Jesse Brian Burks - NPI 1164492989
Jesse Brian Burks is a Podiatrist in Little Rock, Arkansas. Jesse Brian Burks practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jesse Brian Burks is 1164492989. The last update date is 2009-07-03.
Jesse Brian Burks's current location address is 5 Saint Vincent Cir, Little Rock, Arkansas. You can contact this provider via phone number 5016636455 and fax number 5016634877. The mailing address for Jesse Brian Burks is 5 Saint Vincent Cir, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse Brian Burks |
|---|---|
| Address | 5 Saint Vincent Cir, Little Rock, Arkansas |
| Phone Number | 5016636455 |
| Fax Number | 5016634877 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1164492989 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2009-07-03 |
Provider Mailing Address Detail
| Address | 5 Saint Vincent Cir |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722055412 |
| Phone Number | 5016636455 |
| Fax Number | 5016634877 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 184 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5U345 | AR | BLUE CROSS SHIELD | |
| 5U345 | AR | BLUE ADVANTAGE | |
| 5U345 | AR | HEALTH ADVANTAGE | |
| 5U345 | AR | FIRST SOURCE PPO | |
| 5U345 | AR | BCBS FEP | |
| 137319717 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jesse Brian Burks by the Centers for Medicare & Medicaid Services?
The Jesse Brian Burks has been issued the NPI (National Provider Identifier) 1164492989, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jesse Brian Burks?
The Jesse Brian Burks is physically situated at 5 Saint Vincent Cir, in the city of Little Rock, state of AR, with the postal code 722055412.
What is the area of specialization for Jesse Brian Burks, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jesse Brian Burks is Podiatrist, and the corresponding taxonomy code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164492989 to Jesse Brian Burks?
The Jesse Brian Burks received its 1164492989 assignment from the Centers for Medicare & Medicaid Services on 2006-01-24.
When was the Jesse Brian Burks's information last updated?
The Jesse Brian Burks's information was last updated on 2009-07-03.