Burge, Mark

Burge, Mark is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Burge, Mark can be contacted via phone (541) 382-4900.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701-6099
Phone: (541) 382-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 93-229 New Mexico
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD218426 Oregon

Profile Details

NPI number 1578579207
LBN Legal business name Burge, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jun 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578579207 NPPES
Oregon MEDICAID 500832136

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