IndividualActive
Bart Burdick
NPI 1063815546 · Gerontology Nurse Practitioner · Oklahoma City, OK
Provider details
- NPI number
- 1063815546
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95466 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5721 Nw 132nd St
Oklahoma City, OK 73142-4437
Phone: (405) 557-1200
Fax: (405) 557-1977
Approximate (ZIP-level) locationGet directions
Mailing address
5721 Nw 132nd St
Oklahoma City, OK 73142-4437
Registry dates
- Enumerated
- 2014-09-29
- Last updated
- 2024-02-21
- Certified
- 2024-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.