Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Burgundy Medical PC

Organization Body Imaging Physician · NPI 1417765140

Burgundy Medical PC is a Body Imaging Physician in Brooklyn, New York. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8304 5th Ave
Brooklyn, NY 11209-4566
Phone: (347) 492-0353
Fax: (347) 492-0203
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Body Imaging Physician Taxonomy 2085B0100X

Record details

NPI number1417765140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alcibiades Rodriguez — Owner · (646) 558-0800
NPI enumeratedDecember 27, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address8304 5th Ave, Brooklyn, NY 11209-4566

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