Mr Broderick Eugene Burke, LADAC is a
Counselor - Addiction (substance Use Disorder) based in Murfeesboro, Tennessee. Mr Broderick Eugene Burke is licensed to practice in Tennessee (license number LDC0000000860) and his current practice location is
3400 Lebanon Road, Murfeesboro, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(615) 867-6000.
NPI number for Mr Broderick Eugene Burke is 1649364100 and his current mailing address is 3400 Lebanon Road, Murfeesboro, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649364100.
Healthcare Provider's Profile
| Full Name | Mr Broderick Eugene Burke |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 3400 Lebanon Road, Murfeesboro, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649364100
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Broderick Eugene Burke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649364100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LDC0000000860 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Broderick Eugene Burke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Broderick Eugene Burke, LADAC
3400 Lebanon Road,
Murfeesboro, TN 37129
Ph: (615) 867-6000 | Mr Broderick Eugene Burke, LADAC
3400 Lebanon Road,
Murfeesboro, TN 37129
Ph: (615) 867-6000 |
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