MEDICARE: SYDNEY BURCHFIELD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center
2	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1326807769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYDNEY BURCHFIELD, LLC

Provider Business Mailing Address
First Line	:	580 FAIRVIEW DR
Second Line	:
City	:	BERWICK
State	:	LA
Zip	:	70342-2066
Country	:	US
Telephone Number	:	985-518-6953
Fax Number	:	225-307-1087

Provider Business Practice Location Address
First Line	:	609 BRASHEAR AVE
Second Line	:
City	:	MORGAN CITY
State	:	LA
Zip	:	70380-3203
Country	:	US
Telephone Number	:	985-300-6123
Fax Number	:	225-307-1087

Authorized Official
Title or Position	:	OWNER, NP
Name	:	SYDNEY J BURCHFIELD
Credential	:
Telephone Number	:	985-518-6953

Provider Enumeration Date	:	03/18/2024
Last Update Date	:	01/16/2025

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