NPI 1275428633 · live from the CMS NPI Registry
Madison Brooke Burgess
Nurse Practitioner, Pediatrics in Crossville, TN. National Provider Identifier 1275428633, active.
NPI record
| NPI | 1275428633 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 3234 Miller Ave, Crossville, TN 38555 |
| Practice phone | 931-707-8700 |
| Enumerated | June 9, 2025 |
| Last updated | October 10, 2025 |
| Sole proprietor | No |
| Other names | Madison Burgess |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 40056 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.