Roger Grady Burrus, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

20833 Issued in TN

Practice address

123 Fairways Dr
Hendersonville, TN 37075-2610

Phone

(615) 969-2131

NPI assigned

Sep 12, 2005

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

Other identifiers 1

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.

• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1902858137
  NPD (past)
• Sycamore Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1346264975
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1114912656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 STEAM PLANT RD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663025",
            "telephone_number": "615-452-1060",
            "fax_number": "615-452-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 FAIRWAYS DR",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752610",
            "telephone_number": "615-969-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRUS",
        "first_name": "ROGER",
        "middle_name": "GRADY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "20833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074639",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel C. Burchfield, D.M.D.
• Madison Paige Burden, RN,BSN
• Cheslie Nicole Burgess
• Heather Daneen Burleson, PA-C
• Alison F Burns, LCSW
• Mary Candice Burtner, PHARM. D.
• Whitney Burton, DC
• Daniel Joseph Burval, M.D.
• Jasmine Bush
• Lauren Bushue, WHNP-BC

• Specialist in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.