Burk, Brandon A
Burk, Brandon A is an individual health care provider with primary practice located at 39000 Bob Hope Dr Dept Of , Rancho Mirage CA 92270-3221. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Burk, Brandon A can be contacted via phone (760) 773-1251.Contact Information
Primary practice address
39000 Bob Hope Dr Dept Of
Rancho Mirage CA 92270-3221
Phone: (760) 773-1251
Fax: (800) 409-7005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A110173 | California |
Profile Details
| NPI number | 1568634509 |
|---|---|
| LBN Legal business name | Burk, Brandon A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2008 |
| Last updated | Aug 28th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568634509 | NPPES |
| California | Other | 00A1101730 | BC/BS OF CA |
| California | MEDICAID | 1568634509 | BC/BS OF CA |
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