Bryan Matthew Burke, RPA-C
Physician Assistant in Johnson City, NY. Individual provider (NPI-1).
NPI number1609186089
StatusActive
Last updated in NPPESNov 23, 2011
Details
- NPI
- 1609186089
- Entity type
- Individual (NPI-1)
- Name
- Bryan Matthew Burke
- Credential
- RPA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2010
- Last updated
- Nov 23, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 014391 | NY | Yes |
Practice location
33-57 Harrison StJohnson City, NY 13790-2107
Phone 607-763-6412 · Fax 607-763-5854
Mailing address
346 Grand AveJohnson City, NY 13790-2580
Phone 607-729-8156 · Fax 607-729-2209
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 57 Physician Assistant providers in Johnson City · All 1,086 providers in Johnson City
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