John Gordon Burch, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0101030765 Issued in VA

Practice address

4431 Starkey Rd
Roanoke, VA 24018-0612

Phone

(540) 342-0211

Fax

(540) 344-5543

NPI assigned

May 16, 2006

Last updated

Jun 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: john.burch.1@18289.direct.athenahealth.com

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1043262553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 STARKEY RD",
            "address_2": "SUITE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180620",
            "telephone_number": "540-342-0211",
            "fax_number": "540-344-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 STARKEY RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180612",
            "telephone_number": "540-342-0211",
            "fax_number": "540-344-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "JOHN",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101030765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006180892",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia P Bundy, EDD, LPC, MFT
• William L Bundy Jr., PHARMD
• Amanda Elizabeth Bunn, CPM, LM
• Steven T Bunn, DDS
• Whitney Burbage
• Paul J Burchett, DDS
• Carly Burchfield, DO
• John Burchfield, DO
• Lewis Russell Burger Jr., L.C.S.W.
• Aaren June Burgess, BCBA/LBA

• Neurology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.