MEDICARE: THOMAS ELMA BURKART M.D.

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	207RN0300X	Nephrology Physician	22688	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679575880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS ELMA BURKART M.D.

Provider Business Mailing Address
First Line	:	970 NEWMAN RD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-5200
Country	:	US
Telephone Number	:	252-633-9262
Fax Number	:	252-317-2094

Provider Business Practice Location Address
First Line	:	970 NEWMAN RD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-5200
Country	:	US
Telephone Number	:	252-633-9262
Fax Number	:	252-317-2094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/22/2011

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