Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 35-06-1129 | OH |
NPI | 1134119910 |
---|---|
Provider Name | Dr. Robert Richard Burger |
First Address | Cincinnati, OH 45247-7961 |
Second Address | Cincinnati, OH 45247-7961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 28/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000021068 | ANTHEM (01) | OH |
0837241 | (05) | OH |
0920345 | UNITED HEALTH CARE (01) | OH |
200029617 | MEDICARE RAILROAD (01) | OH |
409605 | WELLCARE (01) | OH |
61129 | HUMANA (01) | OH |
959869 | AETNA (01) | OH |
E97458 | (02) | OH |