MR. ETHAN DAVID BURDMAN PA-C, MPAS
NPI 1710130190
Physician Assistant - Medical in Gettysburg, SD

Active since October 29, 2008PECOS Enrolled
608 E GARFIELD AVE, GETTYSBURG, SD 57442(605) 765-2273(605) 765-3212 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2025, Sep 5, 2025 (2 updates tracked since 2025).

About Mr. Ethan David Burdman Pa-c, Mpas NPPES

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

MR. ETHAN DAVID BURDMAN PA-C, MPAS (NPI 1710130190) is an individual medical provider in Gettysburg, South Dakota, licensed in South Dakota (0692) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cottage Grove.

NPPES Registry Identity

NPI1710130190
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ETHAN DAVID BURDMANCredential: PA-C, MPAS
Location Address608 E GARFIELD AVEGettysburg, SD 57442-1325
Mailing Address1515 Village DrCottage Grove, OR 97424-9700 · (541) 767-5222
Fax(605) 765-3212
Sole ProprietorNo
Enumeration DateOctober 29, 2008
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1710130190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in SD · 0692
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA164996 (OR)

Secondary Practice Location 1

Location 11515 Village DrCottage Grove, OR 97424-9700 · Phone (541) 767-5222 · Fax (541) 767-5230

Other Identifiers 1

Other0692SD · South Dakota State License

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Ethan David Burdman Pa-c, Mpas 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.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit with high level of medical decision making

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 65 times for 65 patients

Emergency department visit with moderate level of medical decision making

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 56 times for 56 patients

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
608 E GARFIELD AVE
GETTYSBURG, SD 57442
Nurse Practitioner (Family)
608 E GARFIELD AVE
GETTYSBURG, SD 57442
Podiatrist (Foot & Ankle Surgery)
608 E GARFIELD AVE
GETTYSBURG, SD 57442
Clinic/Center (Federally Qualified Health Center (FQHC))
608 E GARFIELD AVE
GETTYSBURG, SD 57442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710130190, enumerated as an "individual" on October 29, 2008.

The provider is located at 608 E GARFIELD AVE GETTYSBURG, SD 57442 and the phone number is (605) 765-2273.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.