Dr Richard Tyler Burgner, MD | |
1270 Friendship Rd, Braselton, GA 30517-5608 | |
(770) 535-9391 | |
(770) 533-4701 |
Full Name | Dr Richard Tyler Burgner |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | 1270 Friendship Rd, Braselton, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053730481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME139284 (Florida) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 74713 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial University Medical Center | Savannah, GA | Hospital |
Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
Effingham Health System | Springfield, GA | Hospital |
Wayne Memorial Hospital | Jesup, GA | Hospital |
Liberty Regional Medical Center | Hinesville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Longstreet Clinic, Pc | 2668465733 | 145 |
Atlantic Radiology Associates Llc | 5799706032 | 19 |
Atlantic Radiology Associates Llc | 5799706032 | 19 |
Entity Name | The Longstreet Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Entity Name | Atlantic Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033136080 PECOS PAC ID: 5799706032 Enrollment ID: O20051214000206 |
Entity Name | South Georgia Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
Entity Name | Department Of Behavioral Health And Developmental Disabilities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Tyler Burgner, MD 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000 | Dr Richard Tyler Burgner, MD 1270 Friendship Rd, Braselton, GA 30517-5608 Ph: (770) 535-9391 |