Ellie Kathryn Burdg
NPI 1972271997ActiveIndividual· Student in an Organized Health Care Education/Training Program· Bristol, TN
Student in an Organized Health Care Education/Training Program in Bristol, Tennessee, with an NPI issued in September 2021. Enrolled in Medicare as order and referring only - family practice.
Overview
| NPI | 1972271997 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 3, 2021 |
| Last updated in NPPES | Oct 7, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Family Practice (TN) |
|---|
Other Student in an Organized Health Care Education/Training Program providers in Bristol
- 1942149513
- 1053171611
- 1730938689
- 1760327837
- 1639958648
- 1306631734
- 1427997956
- 1639922131
- 1740740695
- 1477357283
- 1811839327
- 1821892340
All Student in an Organized Health Care Education/Training Program providers in Tennessee →