DR. CHARLES M BURKETT M.D. NPI 1215970231

NPI Information

NPI: 1215970231
Provider Name: DR. CHARLES M BURKETT, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1673 MASON AVE
SUITE # 305
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 274-7118
Get Directions

DR. Charles M Burkett, M.D. is a diagnostic radiology radiology in Daytona Beach, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Charles M Burkett, M.D. NPI is 1215970231. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1673 MASON AVE
SUITE # 305
DAYTONA BEACH, FL
ZIP 32117-515
Phone: (386) 274-7118
Fax: (386) 274-6173

The enumeration date for this NPI number is 6/14/2006 and was last updated on 7/1/2010.

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	2085B0100X	Radiology	Body Imaging	ME0045020	FLORIDA	No
2	2085N0700X	Radiology	Neuroradiology	ME0045020	FLORIDA	No
3	2085N0904X	Radiology	Nuclear Radiology	ME0045020	FLORIDA	No
4	2085P0229X	Radiology	Pediatric Radiology	ME0045020	FLORIDA	No
5	2085R0203X	Radiology	Therapeutic Radiology	ME0045020	FLORIDA	No
6	2085R0204X	Radiology	Vascular & Interventional Radiology	ME0045020	FLORIDA	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	ME0045020	FLORIDA	No
8	2085R0202X	Radiology	Diagnostic Radiology	ME0045020	FLORIDA	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	D57722	MEDICARE UPIN	FLORIDA
2	64542D	MEDICARE PIN	FLORIDA
3	64542	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
4	041544800	MEDICAID	FLORIDA
5	300029792	MEDICARE PIN	FLORIDA
6	P00173723	MEDICARE PIN	FLORIDA
7	64542Z	MEDICARE PIN	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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