Philip D Burton

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29232 Issued in NC

Practice address

123 Capcom Ave
Suite One
Wake Forest, NC 27587-6517

Phone

(919) 554-0177

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Louisburg Hma Physician Management, LLC

  • Internal Medicine Physician
  • Louisburg, NC
  • NPI 1699780551

  Family Medicine

  NPD (past)
• Wakemed Faculty Practice Plan

  • Pediatric Critical Care Medicine Physician
  • Raleigh, NC
  • NPI 1013203819
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1093742017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CAPCOM AVE",
            "address_2": "SUITE ONE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876517",
            "telephone_number": "919-554-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CAPCOM AVE",
            "address_2": "SUITE ONE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876517",
            "telephone_number": "919-554-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "PHILIP",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "29232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Evangelos Bulauitan, M.D.
• Steven James Bumgarner, DDS
• Angela Burnett, MA, NCC, LCMHC
• Peyton Elise Burns
• Haley M Burton, FNP
• Catherine Grace Busam, LPC
• Jewel Rayshella Butler, MA LPC
• Azelin Buttitta, CRNA
• Fedoria Latorya Bynum, LCMHC
• Margaret Marian Cahill, LCSW

• Family Medicine Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.