Organization Active NPI

P. Declan Burke, MD, LTD.

  • Obstetrics & Gynecology Physician
  • Fredericksburg, VA
National Provider Identifier
1144267675
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101019596 Issued in VA
Legal business name
P. DECLAN BURKE, MD, LTD.
Practice address
1420 Central Park Blvd
Suite 200
Fredericksburg, VA 22401-4932
Phone
(540) 785-8866
Fax
(540) 785-2676
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
P. Declan Burke, M.D.
Title
Physician
Phone
(540) 785-8866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0101019596 VA Primary

Addresses

Primary practice location

1420 Central Park Blvd
Suite 200
Fredericksburg, VA 22401-4932

Mailing address

1420 Central Park Blvd
Suite 200
Fredericksburg, VA 22401-4932
Phone (540) 785-8866

National Provider Directory

National Provider Directory

Locations

1420 Central Park Blvd
Ste 200
Fredericksburg, VA 22401
Phone (540) 785-7000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1144267675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CENTRAL PARK BLVD",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014932",
            "telephone_number": "540-785-8866",
            "fax_number": "540-785-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CENTRAL PARK BLVD",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014932",
            "telephone_number": "540-785-8866",
            "fax_number": "540-785-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. DECLAN BURKE, MD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "P.",
        "authorized_official_middle_name": "DECLAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-785-8866",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101019596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.