DR. BRADFORD WAYNE BURGESS (D.O.) – Emergency Medicine Physician, NPI 1578684437

DR. BRADFORD WAYNE BURGESS (D.O.) is a healthcare provider. based in Royal oak, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 5101017098 (MI). The NPI Number for DR. BRADFORD WAYNE BURGESS (D.O.) is 1578684437

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADFORD WAYNE BURGESS (D.O.)
NPI
1578684437
Phone
(706) 206-8068
Address
210 VIRGINIA AVENUE
Enumeration Date
2 April 2007
Last Update Date
2 June 2010

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
7063893000
Graduation Year
2006 (20 years ago)
PAC ID
5496942401
Group Practice PAC ID
0547698680
Professional Enrollment ID
I20101202001189
Address ID
GA306063712AT1230XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,166 EMERGENCY MEDICINE in MI

Provider Addresses for DR. BRADFORD WAYNE BURGESS (D.O.)

  • 210 VIRGINIA AVENUE

    ROYAL OAK, MI 480672804

    Phone: (706) 206-8068

    Type: Mailing

  • 27351 DEQUINDRE RD

    MADISON HEIGHTS, MI 480713487

    Phone: (248) 967-7795

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101202001189IEmergency MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making146139$0
99285Emergency department visit with high level of medical decision making130126$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only119114$0
99291Critical care, first 30-74 minutes8275$0
99283Emergency department visit with low level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 48067)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547698680View full group profile
NameSpecialtyState
Nurse PractitionerGA
-AL
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
Emergency MedicineGA
Emergency MedicineTN
-GA
Emergency MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Is DR. BRADFORD WAYNE BURGESS (D.O.) listed with a National Provider Identifier?
Yes — DR. BRADFORD WAYNE BURGESS (D.O.) has NPI 1578684437 on file in the registry.
Would DR. BRADFORD WAYNE BURGESS (D.O.) appear as active to a payer?
You can treat DR. BRADFORD WAYNE BURGESS (D.O.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. BRADFORD WAYNE BURGESS (D.O.)?
DR. BRADFORD WAYNE BURGESS (D.O.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. BRADFORD WAYNE BURGESS (D.O.) registered?
Use Royal Oak, Michigan as the headline location for DR. BRADFORD WAYNE BURGESS (D.O.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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