DR. BROCK DOUGLAS BURKMAN (NPI# 1306002357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306002357 |
| Entity Type | Individual |
| Full Name | DR. BROCK DOUGLAS BURKMAN |
| Credential | DPM |
| Practice Address |
1503 S. 169 Us Hwy Suite E Smithville MO 64089 |
| Practice Telephone | 8168733131 |
| Practice Fax Number | 8773349756 |
| Mailing Telephone | 8168733131 |
| Mailing Fax Number | 8773349756 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2015-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 2010002111 | MO | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1503 S. 169 US HWY SUITE E |
| City | SMITHVILLE |
| State | MO |
| Zip Code | 64089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095313 | Auburn Pharmacy, Inc. | Pharmacy | 1103 S 169 Hwy, Smithville, MO 64089 | 2020-02-20 |
| 1730730110 | Meritas Health Corporation | Family Medicine | 1103 S. 169 Highway, Suite C, Smithville, MO 64089 | 2019-09-26 |
| 1376090837 | Madison Bennett | Pharmacist | 1103 South 169 Highway, Smithville, MO 64089 | 2016-09-01 |
| 1578918538 | Stephanie Ann Day | Registered Nurse | 601 S. 169 Hwy, Smithville, MO 64089 | 2016-04-27 |
| 1124437009 | Lyndon Gene Throm | Pharmacist | 1103 S. 169 Hwy, Smithville, MO 64089 | 2014-08-05 |
| 1174848840 | Michael Robert Brown | Family Medicine | 1103 S. Highway, Suite C, Smithville, MO 64089 | 2010-04-06 |
| 1962653949 | Courtney Boyd | Psychologist | 9007 Ne 157th St, Smithville, MO 64089 | 2008-10-08 |
| 1780850719 | Anita Jewell Cockrum | Speech-Language Pathologist | 14468 S 169 Highway, Smithville, MO 64089 | 2008-04-30 |
| 1710156112 | Dowel LLC | Durable Medical Equipment & Medical Supplies | 1103 S 169 Highway, Smithville, MO 64089 | 2008-02-29 |
| 1386747624 | Matthew Thomas Garrison | Dentist | 14790 N. Us 169 Highway, Smithville, MO 64089 | 2006-09-05 |
| Find all providers in zip 64089 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821491192 | Smithville Podiatry & Wound Care LLC | Podiatrist | 29 South New York Rd, Suite 800, Smithville, NJ 08205 | 2014-10-01 |
| 1912273566 | Burkman Podiatry Inc | Podiatrist | 1503 S Us Highway 169, Suite E, Smithville, MO 64089-9326 | 2012-03-28 |
| 1154384824 | Emma Lillian Bryan | Podiatrist | 29 S New York Rd, Smithville, NJ 08205 | 2006-04-11 |
| 1295094373 | Brock Burkman | Podiatrist | 1503 S Us Highway 169, Suite E, Smithville, MO 64089-9326 | 2012-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421696 | Kiera Margaret Benge-shea | Podiatrist | 12255 Depaul Drive, Ste 705, Bridgeton, MO 63055 | 2020-06-09 |
| 1972069359 | Dr Jeffrey Brooks PC | Podiatrist | 618 N New Ballas Rd Apt 409, Saint Louis, MO 63141-6767 | 2019-02-11 |
| 1619448453 | S Thomas Sehy D P M L L C | Podiatrist | 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 | 2018-12-05 |
| 1902339104 | Jay J Moradia | Podiatrist | 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 | 2017-04-05 |
| 1992185763 | Melanie Gonzalez | Podiatrist | 2406 E R.d. Mize Rd Ste. B, Independence, MO 64057-6405 | 2015-06-05 |
| 1255727525 | Mobile Podiatry of Kansas, LLC | Podiatrist | 1920 Salter Pl, Kirksville, MO 63501-5165 | 2015-04-13 |
| 1346645496 | Ronald Ethan Freilich | Podiatrist | 25107 Cherokee Ln, Jonesburg, MO 63351-2454 | 2014-10-31 |
| 1972922060 | Special Care Podiatry of Missouri, LLC | Podiatrist | 3714 Kidron St, Jackson, MO 63755-3345 | 2014-04-16 |
| 1003152273 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 8534 Eager Rd, Saint Louis, MO 63144-1435 | 2012-12-17 |
| 1073870234 | Richard Don Bushman | Podiatrist | 603 Claymont Estates Dr, Chesterfield, MO 63017-7061 | 2012-04-12 |
| Find all providers with the same taxonomy | ||||
| City | SMITHVILLE |
| Zip Code | 64089 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.