Gerald C Burnett MD LTD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101017885 Issued in VA

Legal business name

GERALD C BURNETT MD LTD

Practice address

405 Oak Lane
South Boston, VA 24592-0835

Phone

(434) 572-6780

Fax

(434) 572-6033

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Crain Burnett Sr., MD

Title

President

Phone

(434) 572-6780

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.

• Matthew Michael Dubai, NP

  • Family Nurse Practitioner
  • Utica, NY
  • NPI 1720135742
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1104877679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 OAK LANE",
            "address_2": "PO BOX 835",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245920835",
            "telephone_number": "434-572-6780",
            "fax_number": "434-572-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 OAK LANE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245920835",
            "telephone_number": "434-572-6780",
            "fax_number": "434-572-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD C BURNETT MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "CRAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-572-6780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101017885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Allen Fuller Jr., MD
• Devmith Chinthaka Gajadeera, M.D.
• Galax Treatment Center, LLC
• Brooke Gasperini, LPC
• Joseph Hugh Gasperini, LPC
• Michelle Bender Gibson, NP
• Miranda Giles
• Godocs South Boston, LLC
• Judy Gourley
• Grace and Mercy Recovery

• Dermatology Physician in South Boston, VA
• Providers in South Boston, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.