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DR. DUNCAN MARK BURKHOLDER MD NPI 1467430405


NPI Information

NPI: 1467430405
Provider Name: DR. DUNCAN MARK BURKHOLDER, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Organization: GRACE CLINIC OF LUBBOCK

PECOS Registration: Yes

CLIA Number: 45D0507672

Address:
4515 MARSHA SHARP FWY
LUBBOCK, TX
ZIP 79407
Phone: (806) 744-7223
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DR. Duncan Mark Burkholder, MD is a gynecology obstetrics gynecology in Lubbock, TX with 41 years of experience. DR. Duncan Mark Burkholder, MD NPI is 1467430405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year:1983

The provider's business location address is:

4515 MARSHA SHARP FWY
LUBBOCK, TX
ZIP 79407-520
Phone: (806) 744-7223
Fax: (806) 740-3325

The NPI 1467430405 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 CLIA number assigned to this NPI record is 45D0507672 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)

The enumeration date for this NPI number is 1/9/2006 and was last updated on 12/1/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyG4879TEXASNo
2207VG0400XObstetrics & GynecologyGynecologyG4879TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14361195OTHERTEXASAETNA
2100122106OTHERTEXASTEAM CHOICE- CORE
38V8691OTHERTEXASBCBS
4100122106OTHERTEXASFIRSTCARE
5128007508MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.