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EDWARD M BURDOCK DC CCSP
NPI 1417086760
Chiropractor - Sports Physician in Washington, IA

Active since March 04, 2007Accepts Medicare Assignment
208 S MARION AVE, WASHINGTON, IA 52353(319) 653-3573(319) 653-3573 Get Directions Write a Review

NPPES record last updated: March 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward M Burdock Dc Ccsp NPPES

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

EDWARD M BURDOCK DC CCSP (NPI 1417086760) is an individual sports physician in Washington, Iowa, licensed in Iowa (A06120) and active in the NPI registry since March 2007. He is a graduate of Palmer College Chiropractic - Davenport (1995).

NPPES Registry Identity

NPI1417086760
Entity TypeIndividualMale
Primary Taxonomy111NS0005X
Provider Legal NameEDWARD M BURDOCKCredential: DC CCSP
Location Address208 S MARION AVEWashington, IA 52353-1744
Mailing Address208 S Marion AveWashington, IA 52353-1744 · (319) 653-3573 · Fax (319) 653-3573
Phone(319) 653-3573
Fax(319) 653-3573
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1995
Enumeration DateMarch 4, 2007
Last NPPES UpdateMarch 26, 2009
✔ NPI 1417086760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in IA · A06120
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedChiropractorTaxonomy 111N00000X · License A06120 (IA)
208 S MARION AVE, Washington, IA 52353
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Other Identifiers 4

Medicare PIN45770IA
Medicare UPINU71072IA
Medicaid0179408IA
Other45770IA · Wellmark Blue Cross Blue

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edward M Burdock Dc Ccsp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860430634
PECOS Enrollment IDI20050421000918

Other Providers at the Same Location NPPES

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

BURDOCK FAMILY CHIROPRATIC PC
Chiropractor
208 S MARION AVE
WASHINGTON, IA 52353
Washington County (319) 653-3573

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 Edward Burdock's NPI number?

The NPI number for Edward Burdock is 1417086760. It was assigned to this individual provider in the NPPES registry on March 4, 2007.

Where is Edward Burdock located?

Edward Burdock practices at 208 S Marion Ave, Washington, IA 52353. The listed phone number is (319) 653-3573.

What is Edward Burdock's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Edward Burdock enrolled in Medicare?

Yes. Edward Burdock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Edward Burdock was last updated on March 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.