MR. SCOTT DANIEL BURGNER NPI 1952152514

NPI Information

NPI: 1952152514
Provider Name: MR. SCOTT DANIEL BURGNER
Classification: Pathology - 247ZC0005X
Specialization: Clinical Laboratory Director, Non-physician
Entity Type: Individual
PECOS Registration: Yes
Address: 1108 E HISTORIC HIGHWAY 66
GALLUP, NM
ZIP 87301
Phone: (505) 726-9642

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NPI Details

MR. Scott Daniel Burgner is a clinical laboratory director and non-physician pathology in Gallup, NM. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. MR. Scott Daniel Burgner NPI is 1952152514. 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:

1108 E HISTORIC HIGHWAY 66
GALLUP, NM
ZIP 87301-466
Phone: (505) 726-9642
Fax: (505) 726-9642

The NPI 1952152514 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 4/1/2024 and was last updated on 1/6/2025.

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	172V00000X	Community Health Worker				No
2	247ZC0005X	Pathology	Clinical Laboratory Director, Non-physician	32D2133123	NEW MEXICO	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	210425	MEDICAID	ARIZONA
2	1073138244	OTHER		GROUP NPI
3	91159792	MEDICAID	NEW MEXICO

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: 3/30/2025

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