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

Justin Bryce Burge

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174808638

Justin Bryce Burge is a Certified Registered Nurse Anesthetist (CRNA) in Hattiesburg, Mississippi. Qualified in 2011, 15 years ago. Practices with Universal Anesthesia Services LLC, a 59-clinician group and accepts Medicare assignment. Licensed in Kentucky and Mississippi.

Years since qualifying
15
Licensed in
KY, MS
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone: (601) 261-3606
Fax: (601) 579-5383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence A810475 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R877664 (MS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 3007275 (KY)

Record details

NPI number1174808638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 17, 2011
Last updated in NPPESAugust 23, 2016
Mailing address415 S 28th Ave, Hattiesburg, MS 39401-7246

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Universal Anesthesia Services Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hattiesburg