Active NPI
Richard L Burdick, MD
- Internal Medicine Physician
- Wilson, NC
National Provider Identifier
1174503452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28736
- Practice address
- 200 Glendale Drive
Wilson, NC 27893 - Phone
- (252) 399-0737
- Fax
- (252) 399-0747
- NPI assigned
- Jan 20, 2006
- Last updated
- Jun 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 28736 | NC | Primary |
Addresses
Primary practice location
200 Glendale Drive
Wilson, NC 27893
Mailing address
PO Box 7015
Wilson, NC 27895-7015
Phone (252) 399-0737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19978 | Other | NC | BLUE CROSS |
| 8919978 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Radiology P a | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Charlotte, NC
- NPI 1649220443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1174503452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7015",
"city": "WILSON",
"state": "NC",
"postal_code": "278957015",
"telephone_number": "252-399-0737",
"fax_number": "252-399-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GLENDALE DRIVE",
"city": "WILSON",
"state": "NC",
"postal_code": "27893",
"telephone_number": "252-399-0737",
"fax_number": "252-399-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDICK",
"first_name": "RICHARD",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "28736",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "19978",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8919978",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.