Individual
DR. MATTHEW STEPHEN BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 MCQUEEN SMITH RD N STE 300, PRATTVILLE, AL 36066-7269
(334) 747-2999
(334) 747-7276
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
(334) 747-4159
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.36181
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I936812
MEDICARE
AL
01
—
1902169808
NPI
—
05
—
204555
—
AL
05
—
204557
—
AL
01
—
511-96290
BCBS OF ALABAMA
AL
01
—
511-97736
BCBS OF ALABAMA
AL
01
—
8841312
CIGNA
AL
01
—
P01919417
RAILROAD MEDICARE
AL
01
—
Z39181
VIVA HEALTH
AL
01
—
Z39181
UPIN
—
Enumeration date
06/17/2012
Last updated
01/11/2023
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