James Burgin, MD
Individual provider Active NPI Pediatrics Physician · Berwyn Heights, MD
NPI 1295880524 · NPPES record last updated Feb 7, 2012
Key facts
- NPI
- 1295880524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- D0013962 (MD)
- Practice address
- 6201 Greenbelt Rd
L1-3
Berwyn Heights, MD 20740-2354 - Phone
- (301) 345-2270
- Fax
- (301) 345-7149
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0013962 | MD | MD | Pediatrics Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0013962 | MD | Yes |
Addresses
Primary practice location
6201 Greenbelt Rd
L1-3
Berwyn Heights, MD 20740-2354
Mailing address
6201 Greenbelt Rd
L1-3
Colleg Park, MD 20740-2354
Phone (301) 345-1900
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All providers in Berwyn Heights, MD · Pediatrics Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.