Healthcare Provider Details

I. General information

NPI: 1659809846
Provider Name (Legal Business Name): BRIAN K BURKE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2017
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

658 N CHASE ST STE 201
ATHENS GA
30601-1960
US

IV. Provider business mailing address

PO BOX 48089
ATHENS GA
30604-8089
US

V. Phone/Fax

Practice location:
  • Phone: 706-389-3590
  • Fax: 706-389-3811
Mailing address:
  • Phone: 706-389-3740
  • Fax: 706-389-3951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number82639
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: