NPIMap

Organization Active NPI

Burkeville Medical Group

  • Family Medicine Physician
  • Burkeville, VA
National Provider Identifier
1023000718
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BURKEVILLE MEDICAL GROUP
Practice address
412 Namozine Street
Burkeville, VA 23922
Phone
(434) 767-5511
NPI assigned
Aug 18, 2005
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John R. Wine, M.D.NPI 1427040112
Title
Cfo
Phone
(434) 767-4822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

412 Namozine Street
Burkeville, VA 23922

Mailing address

412 Namozine Street
Burkeville, VA 23922
Phone (434) 767-5511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1023000718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 NAMOZINE STREET",
            "city": "BURKEVILLE",
            "state": "VA",
            "postal_code": "23922",
            "telephone_number": "434-767-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 NAMOZINE STREET",
            "city": "BURKEVILLE",
            "state": "VA",
            "postal_code": "23922",
            "telephone_number": "434-767-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKEVILLE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "WINE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "434-767-4822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burkeville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.