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JEREMY J BURDGE M.D.
NPI 1235113408
Specialist in Columbus, OH

Active since December 01, 2005PECOS Enrolled
3732 OLENTANGY RIVER RD, SUITE C, COLUMBUS, OH 43214(614) 451-0411(614) 451-8037 Get Directions Write a Review

NPPES record last updated: August 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeremy J Burdge M.d. NPPES

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

JEREMY J BURDGE M.D. (NPI 1235113408) is an individual specialist in Columbus, Ohio, licensed in Ohio (35-042744) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235113408
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJEREMY J BURDGECredential: M.D.
Location Address3732 OLENTANGY RIVER RD, SUITE CColumbus, OH 43214-3449
Mailing Address3732 Olentangy River Rd, Suite CColumbus, OH 43214-3449 · (614) 451-0411 · Fax (614) 451-8037
Phone(614) 451-0411
Fax(614) 451-8037
Sole ProprietorYes
Enumeration DateDecember 1, 2005
Last NPPES UpdateAugust 30, 2013
✔ NPI 1235113408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 35-042744
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 35.042744 (OH)
3732 OLENTANGY RIVER RD, Columbus, OH 43214
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Other Identifiers 4

Medicare ID-Type UnspecifiedBU0547684OH · Medicare Id
Medicaid0553753OH
Other000000118889OH · Anthem Provider Id
Medicare UPINA80856OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy J Burdge M.d. 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Burdge's NPI number?

The NPI number for Jeremy Burdge is 1235113408. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Jeremy Burdge located?

Jeremy Burdge practices at 3732 Olentangy River Rd Suite C, Columbus, OH 43214. The listed phone number is (614) 451-0411.

What is Jeremy Burdge's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jeremy Burdge enrolled in Medicare?

Yes. Jeremy Burdge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Burdge was last updated on August 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.