DR. TANDEKA NIX BURKS MD NPI 1689675001

NPI Information

NPI: 1689675001
Provider Name: DR. TANDEKA NIX BURKS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: STEDMAN - WADE HEALTH SERVICES, INC

PECOS Registration: Yes

Address:
150 ROBESON ST
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 609-6350
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DR. Tandeka Nix Burks, MD is a family medicine in Fayetteville, NC with 25 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Tandeka Nix Burks, MD NPI is 1689675001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

150 ROBESON ST
FAYETTEVILLE, NC
ZIP 28301-570
Phone: (910) 609-6350

The NPI 1689675001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		200001515	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2002440B	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	GROUP # 2336501
2	89132P3	MEDICAID	NORTH CAROLINA
3	H61079	MEDICARE UPIN	NORTH CAROLINA
4	132P3	OTHER	NORTH CAROLINA	BCBS GROUP # 015CK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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