Carie Daniel Buckley III, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0101033256 Issued in VA

Practice address

70 Medical Center Cir
Suite 208
Fishersville, VA 22939-2273

Phone

(540) 332-5926

Fax

(540) 332-5930

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carie D Buckley III Professional name

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

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14792/brand/1/csg/1/fhir/r4

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.

• Blue Ridge Urological Assoc., PC

  • Urology Physician
  • Fishersville, VA
  • NPI 1194746289
  NPD Authorized official

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1174511349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER CIR",
            "address_2": "SUITE 208",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392273",
            "telephone_number": "540-332-5926",
            "fax_number": "540-332-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER CIR",
            "address_2": "SUITE 208",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392273",
            "telephone_number": "540-332-5926",
            "fax_number": "540-332-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "CARIE",
        "middle_name": "DANIEL",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101033256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "011346",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARIE",
            "last_name": "BUCKLEY",
            "middle_name": "D",
            "suffix": "III",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Phillips Respess Bryan Jr., MD
• Katherine F Bryant, MD
• Emily Ann Brzana
• Kay A Buchanan, O.T.
• Janet Buchheit
• Christopher Thomas Bunn, D.O.
• David A Burgess, M.D.
• Corey C. Burgoyne, DMD
• Robert W Burke, PA-C
• Jamie Burkholder

• Urology Physician in Fishersville, VA
• Providers in Fishersville, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.