Provider Demographics
NPI:1821218140
Name:BURKHART, TIMOTHY MARTIN (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MARTIN
Last Name:BURKHART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OCCUPATIONAL HEALTH CLINIC, BLDG 3907
Mailing Address - Street 2:NAVAL HEALTH CLINIC PSC BOX 8023
Mailing Address - City:CHERRY POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28533-0023
Mailing Address - Country:US
Mailing Address - Phone:252-466-4402
Mailing Address - Fax:
Practice Address - Street 1:OCCUPATIONAL HEALTH CLINIC, BLDG 3907
Practice Address - Street 2:NAVAL HEALTH CLINIC
Practice Address - City:CHERRY POINT
Practice Address - State:NC
Practice Address - Zip Code:28533-0023
Practice Address - Country:US
Practice Address - Phone:524-664-4022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-010692083X0100X, 2083A0100X
OHPENDING208100000X
VA01012370812083X0100X, 2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101237081OtherSTATE MEDICAL LICENSE