Henry Burgess, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101230868 Issued in VA

Legal business name

HENRY BURGESS, MD, PC

Practice address

6655 Scruggs Rd
Moneta, VA 24121-5137

Phone

(540) 719-1685

Fax

(540) 719-1687

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Henry Burgess, M.D.NPI 1376516260

Title

President

Phone

(540) 719-1685

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry E Burgess, MD

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1376516260

  Family Medicine

  NPD Authorized official

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1043475544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 SCRUGGS RD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241215137",
            "telephone_number": "540-719-1685",
            "fax_number": "540-719-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 SCRUGGS RD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241215137",
            "telephone_number": "540-719-1685",
            "fax_number": "540-719-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY BURGESS, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-719-1685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101230868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Gump, DC
• Christine Ann Haessler, RPH
• Leonard Hammond
• Diane Rose Hancock, LPTA
• Patricia H Hayes, NP
• Bradford Thomas Herlehy, DC
• Benjamin Michael Hodges, DPT
• Leigh Ann Klipper, LCSW
• Stephanie Dianne Klose, CHPT
• Rachel Krecidlo, LCSW

• Family Medicine Physician in Moneta, VA
• Providers in Moneta, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.