Individual
JOHN MARK BURKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
24359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1810393000
—
WV
01
—
19987
BCBS
—
01
—
21599
MEDCOST
—
01
—
4243
PARTNERS
—
01
—
5223031
AETNA
—
05
—
6026281
—
VA
05
—
8919987
—
NC
05
—
Q24359
—
SC
Enumeration date
12/09/2005
Last updated
02/08/2008
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