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

Conner J Burck, PA-C

Individual provider Surgical Physician Assistant · NPI 1134745664

Conner J Burck, PA-C is a Physician Assistant in Missoula, Montana. Qualified in 2020, 6 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Montana and Washington.

Years since qualifying
6
Licensed in
MT, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

500 W Broadway St Ste 320
Missoula, MT 59802-4003
Phone: (406) 329-5615
Fax: (406) 329-5606
Show map & directions

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

Additional practice locations (2)

  • 69905 Meadow View Rd, Sisters, OR 97759-9611 — (541) 525-4108
  • 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 — (509) 942-3095

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence MED-PAC-LIC-115542 (MT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA61100789 (WA)

Record details

NPI number1134745664
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 20, 2020
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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