BYRON L BURRUP (D.O.) – Family Medicine Physician, NPI 1598751729

BYRON L BURRUP (D.O.) is a healthcare provider. based in Kennewick, Washington. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OP00001353 (WA). The NPI Number for BYRON L BURRUP (D.O.) is 1598751729

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
BYRON L BURRUP (D.O.)
NPI
1598751729
Phone
(509) 735-2325
Address
7201 W GRANDRIDGE BLVD
Enumeration Date
22 September 2005
Last Update Date
3 May 2021

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5099423286
Graduation Year
1989 (37 years ago)
PAC ID
7012953847
Group Practice PAC ID
9739098617
Professional Enrollment ID
I20050701000658

Contacts

Secure Messaging
bburrup1107022@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for BYRON L BURRUP (D.O.)

  • 7201, West Grandridge Boulevard, Kennewick, Benton County, Washington, 99338, United States

    SUITE 101

    KENNEWICK, WA 993366709

    Phone: (509) 735-2325

    Fax: (509) 735-3222

    Type: Mailing

  • 1221 Highland Ave

    Clarkston, WA 994032829

    Phone: (509) 758-4065

    Fax: (509) 758-4065

    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: 2005-07-01

PECOS data refreshed: 2026-05-27

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
I20050701000658IEmergency MedicineWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 99336)

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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: 9739098617View full group profile
NameSpecialtyState
Medical Oncology, Hematology, Hematology/Oncology, Internal MedicineWA
-MO
Hospitalist, Internal MedicineWA
-WA
P O D I A T R YWA
Hematology/Oncology, Internal MedicineWA
Nurse PractitionerKS
Nurse PractitionerNC
Physician AssistantWA
Internal MedicineWA

Reviews

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Frequently asked questions

What federal number belongs to BYRON L BURRUP (D.O.)?
The federal identifier for BYRON L BURRUP (D.O.) is NPI 1598751729.
Is BYRON L BURRUP (D.O.) active in the national directory?
BYRON L BURRUP (D.O.)'s public NPI profile is in an active state.
Does BYRON L BURRUP (D.O.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for BYRON L BURRUP (D.O.). Clinical services aligned with this taxonomy classification.
Does BYRON L BURRUP (D.O.) practice in Washington?
You will see Kennewick, Washington on file for BYRON L BURRUP (D.O.) alongside any extra practice locations.
What if Kennewick, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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