Active NPIIndividual provider

Tristan E Burns-Edel, PA-C

Physician Assistant in Beverly, Massachusetts

NPI Number1407568223
Practice location
85 Herrick St, Beverly, MA 01915-1790
Fax
—
Last updated
September 30, 2024

Tristan Elias Burns-Edel is a Physician Assistant based in Beverly, MA. Tristan Elias Burns-Edel practices in Beverly, MA and has the professional credentials of PA-C. The NPI Number for Tristan Elias Burns-Edel is 1407568223 and holds a License No. PA9171 (MA). The current practice location address for Tristan Elias Burns-Edel is 85 Herrick St, Beverly, MA 01915-1790 and can be reached out via phone at 978-922-3000.

Provider Profile Details

NPI Number
1407568223
Provider Name
Tristan Elias Burns-Edel
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
85 Herrick St, Beverly, MA 01915-1790
Phone Number
978-922-3000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 23, 2022
Last Update Date
September 30, 2024
Certification Date
September 30, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Herrick St
Beverly, MA 01915-1790
Zip
01915-1790
Phone Number
978-922-3000
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
41 Mall RD
Burlington, MA 01805-0001
City
Burlington
State
MA
Zip
01805-0001

License Information

Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
PA9171
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tristan E Burns-Edel, PA-C?

The NPI number of Tristan E Burns-Edel, PA-C is 1407568223. It was assigned on December 23, 2022 and is currently active in the NPPES registry.

What is the specialty of Tristan E Burns-Edel, PA-C?

Tristan E Burns-Edel, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA9171.

Where does Tristan E Burns-Edel, PA-C practice?

The practice location is 85 Herrick St, Beverly, MA 01915-1790. The office can be reached at 978-922-3000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407568223 directly on the NPPES registry website.

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