Individual
DEREK ALAN BURDENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-126684
IL
2085R0202X
Diagnostic Radiology Physician
0C52921
CA
2085R0202X
Diagnostic Radiology Physician
Primary
20055
NE
2085R0202X
Diagnostic Radiology Physician
25MA08377300
NJ
2085R0202X
Diagnostic Radiology Physician
26116
OK
2085R0202X
Diagnostic Radiology Physician
2777
SD
2085R0202X
Diagnostic Radiology Physician
32183
IA
2085R0202X
Diagnostic Radiology Physician
35.091331
OH
2085R0202X
Diagnostic Radiology Physician
40054
AZ
2085R0202X
Diagnostic Radiology Physician
46763
CO
2085R0202X
Diagnostic Radiology Physician
48895
WA
2085R0202X
Diagnostic Radiology Physician
95-00851
NC
2085R0202X
Diagnostic Radiology Physician
SP173
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C529210
—
CA
05
—
0167266
—
NJ
05
—
200215370
—
OK
05
—
47052578200
—
NE
01
—
P00457921
RAILROAD MEDICARE
NE
Enumeration date
11/07/2006
Last updated
09/23/2020
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