Active NPI
Madisen Renae Seccurro, MD
- Student in an Organized Health Care Education/Training Program
- Durham, NC
National Provider Identifier
1194467241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 200 Trent Dr
Durham, NC 27710-3037 - Phone
- (919) 684-3491
- Fax
- (919) 684-3491
- NPI assigned
- Apr 10, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
200 Trent Dr
Durham, NC 27710-3037
Mailing address
200 Trent Dr
Durham, NC 27710-3037
Phone (919) 684-3491
Other practice location 1
234 Goodman Street, ML 0781
Internal Medicine
Cincinnati, OH 45219
Phone (513) 584-4505
Other names 1
- Madisen Renae Burns
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1194467241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TRENT DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277103037",
"telephone_number": "919-684-3491",
"fax_number": "919-684-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TRENT DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277103037",
"telephone_number": "919-684-3491",
"fax_number": "919-684-3491"
}
],
"practiceLocations": [
{
"address_1": "234 Goodman Street, ML 0781",
"address_2": "Internal Medicine",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "45219",
"country_code": "US",
"telephone_number": "513-584-4505",
"fax_number": "513-584-0468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SECCURRO",
"first_name": "MADISEN",
"middle_name": "RENAE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-10",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADISEN",
"last_name": "BURNS",
"middle_name": "RENAE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.