DR. ELLIE KATHRYN BURDG
NPI 1972271997
Student in an Organized Health Care Education/Training Program in Bristol, TN
About Dr. Ellie Kathryn Burdg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ELLIE KATHRYN BURDG (NPI 1972271997) is an individual student in an organized health care education/training program in Bristol, Tennessee and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ellie Kathryn Burdg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRISTOL, TN 37620
BRISTOL, TN 37620
BRISTOL, TN 37620
BRISTOL, TN 37620
BRISTOL, TN 37620
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 Ellie Burdg's NPI number?
The NPI number for Ellie Burdg is 1972271997. It was assigned to this individual provider in the NPPES registry on September 3, 2021.
Where is Ellie Burdg located?
Ellie Burdg practices at 208 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 989-4050.
What is Ellie Burdg's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ellie Burdg enrolled in Medicare?
Yes. Ellie Burdg is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ellie Burdg was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Dr. Ellie Kathryn Burdg · NPI 1972271997
Student in an Organized Health Care Education/Training Program provider in Bristol, Tennessee. Individual provider, active in the CMS NPPES registry since September 3, 2021.
## Identity
- **NPI:** 1972271997 (Entity type: Individual)
- **Enumerated:** September 3, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 208 MEDICAL PARK BLVD, Bristol, TN 37620-7343
- **Phone:** (423) 989-4050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 7, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1972271997) · Data from the CMS NPPES public registry.