J Gordon Burch MD PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

0101030765 Issued in VA

Legal business name

J GORDON BURCH MD PLLC

Practice address

4461 Starkey Rd
Suite 101
Roanoke, VA 24018-0620

Phone

(540) 342-0211

Fax

(540) 344-5543

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. J Gordon Burch, M.D.

Title

Sole Owner

Phone

(540) 342-0211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1306135744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 STARKEY RD",
            "address_2": "SUITE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180620",
            "telephone_number": "540-342-0211",
            "fax_number": "540-344-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 STARKEY RD",
            "address_2": "SUITE 101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180620",
            "telephone_number": "540-342-0211",
            "fax_number": "540-344-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J GORDON BURCH MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "540-342-0211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101030765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• It'S About Time, Inc
• Jason Patrick Itson Sr., MSN, AGACNP-BC
• Neeraja Iyer
• Praneet Sivaramakrishnan Iyer, MD
• Iyh I LLC
• J Richard Frazier MD PC
• Tracey E. Jablonski, PTA
• Jasmine Yvette Jackson-Akers, DO
• Beja Jackson
• Bobbie Jackson, MSN, APRN, AGACNP-BC

• Neurology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Neurology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.