Healthcare Provider Details

I. General information

NPI: 1104789874
Provider Name (Legal Business Name): DAVID JAMES BURKE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S 21ST ST STE 400
LINCOLN NE
68510-1030
US

IV. Provider business mailing address

200 S 21ST ST STE 400
LINCOLN NE
68510-1030
US

V. Phone/Fax

Practice location:
  • Phone: 402-953-6751
  • Fax:
Mailing address:
  • Phone: 402-953-6751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: