MR. BRIAN PATRICK BURLEY (NPI# 1598072449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598072449 |
| Entity Type | Individual |
| Full Name | MR. BRIAN PATRICK BURLEY |
| Practice Address |
1115 S Bluff Dr Roseville CA 95678-1148 |
| Mailing Address |
11512 B Ave Auburn CA 95603-2605 |
| Practice Telephone | 9165329497 |
| Mailing Telephone | 5308897285 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1115 S BLUFF DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270728 | Alexander Senu Edorh | Student in an Organized Health Care Education/Training Program | 1430 Commerce St Apt 105, Roseville, MN 55113-4211 | 2019-11-19 |
| 1427547140 | Nathaniel John Williams | Student in an Organized Health Care Education/Training Program | 18325 E 10 Mile Rd Ste 200, Roseville, MI 48066-4990 | 2018-05-08 |
| 1659887339 | Erin Marie Cassidy | Student in an Organized Health Care Education/Training Program | 1228 Bunker Hill Dr, Roseville, CA 95661-5024 | 2017-12-18 |
| 1437692142 | Ladan Khatibijah | Student in an Organized Health Care Education/Training Program | 1660 E Roseville Pkwy Bldg 100, Roseville, CA 95661-3988 | 2016-11-29 |
| 1043762164 | Danielle Deniese Albright | Student in an Organized Health Care Education/Training Program | 1849 Cymbeline St, Roseville, CA 95747-4974 | 2016-10-25 |
| 1053732917 | Michael John Manthei | Student in an Organized Health Care Education/Training Program | 8207 Sierra College Blvd. Ste. 510, Roseville, CA 95661 | 2013-12-19 |
| 1922618966 | Susan Caraminda Quinto | Student in an Organized Health Care Education/Training Program | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2020-08-04 |
| 1427522432 | Kai M Schoen | Student in an Organized Health Care Education/Training Program | 2096 Fairways Ln, Roseville, MN 55113-3813 | 2019-01-14 |
| 1225540602 | Anna Topova | Student in an Organized Health Care Education/Training Program | 1830 Sierra Gardens Dr Ste 10, Roseville, CA 95661-2942 | 2017-10-25 |
| 1609392927 | Kaylee Nicole Jensen | Student in an Organized Health Care Education/Training Program | 1624 Santa Clara Dr Ste 145, Roseville, CA 95661-3500 | 2017-08-17 |
| Find all providers in ROSEVILLE | ||||
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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.