Linda M Burrell, M.D.
Individual provider Active NPI Specialist · Wheaton, MD
NPI 1104837442 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104837442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- D0035996 (MD)
- Practice address
- 2730 University Blvd W
400
Wheaton, MD 20902-1905 - Phone
- (301) 942-9220
- Fax
- (301) 942-9220
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21323 | DC | MD | Specialist |
| D0035996 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0035996 | MD | Yes |
| Specialist | 174400000X | MD21323 | DC |
Addresses
Primary practice location
2730 University Blvd W
400
Wheaton, MD 20902-1905
Mailing address
2730 University Blvd W
400
Wheaton, MD 20902-1905
Phone (301) 942-9220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358761400 | Medicaid | MD |
Other providers in Wheaton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.