IAN LADD BURGE NURSE PRACTITIONER
NPI 1124317359
Nurse Practitioner - Family in Birmingham, AL

Q: What is Ian Burge's NPI number?

The NPI number for Ian Burge is 1124317359. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Q: What is Ian Burge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Burge was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 28, 2011PECOS Enrolled

420 20TH ST N STE 2200, BIRMINGHAM, AL 35203(866) 949-0108 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ian Ladd Burge Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN LADD BURGE NURSE PRACTITIONER (NPI 1124317359) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-094401) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1124317359

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameIAN LADD BURGECredential: NURSE PRACTITIONER

Location Address420 20TH ST N STE 2200Birmingham, AL 35203-3261

Mailing Address40 S Main St Ste 1300Memphis, TN 38103-5513 · (866) 949-0108

Phone(866) 949-0108

Sole ProprietorNo

Enumeration DateMarch 28, 2011

Last NPPES UpdateSeptember 23, 2021

NPPES CertifiedAugust 19, 2021

✔ NPI 1124317359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-094401

420 20TH ST N STE 2200, Birmingham, AL 35203

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Secondary Practice Location 1

Location 18875 Hidden River Pkwy Ste 300Tampa, FL 33637-2087 · Phone (866) 949-0108

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ian Ladd Burge Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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