DEAN BURGESS M.D. – NPI #1194721134
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

DEAN BURGESS is an ophthalmologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1194721134 to DEAN BURGESS on June 23, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 5 years ago on May 10, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEAN BURGESS below.

NPI Profile for
DEAN BURGESS

NPI Number
1194721134
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DEAN BURGESS
Credentials
M.D.
Primary location
2201 S. BRENTWOOD BLVD
SAINT LOUIS, MO 63144-1870
Phone: (314) 367-1181 Fax: (314) 962-3462
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 10, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DEAN BURGESS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL0050267012
MEDICAIDMO200140606
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
MO 2016004988
207W00000X
- Ophthalmology
MO R5138

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.