Individual provider Active NPI

Henry E Burgess, MD

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1376516260
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101230868 Issued in VA
Practice address
405 E Laburnum Ave Ste 3
Richmond, VA 23222-2134
Phone
(540) 200-8821
Fax
(540) 779-7889
NPI assigned
Feb 10, 2006
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C159147 CA
Family Medicine Physician 207Q00000X 81686 SC
Family Medicine Physician 207Q00000X E-11833 AR
Family Medicine Physician 207Q00000X 201803048 NC
Family Medicine Physician 207Q00000X 0101230868 VA Primary

Addresses

Primary practice location

405 E Laburnum Ave Ste 3
Richmond, VA 23222-2134

Mailing address

674 Lees Gap Rd
Fincastle, VA 24090-3869
Phone (540) 682-3082

Other practice location 1

632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254

Other identifiers 8

IdentifierTypeStateIssuer
080171551OtherVAMEDICARE RAILROAD
441912OtherANTHEM
441913OtherVAANTHEM
1376516260MedicaidVA
5617456MedicaidVA
005605113MedicaidVA
005611211MedicaidVA
441914OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, AR, NC, SC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20031211000058 VA Practitioner - Family Practice 2860398773
I20230801002887 AR Practitioner - Family Practice 2860398773
I20230808002790 NC Practitioner - Family Practice 2860398773 Reassigns benefits to 1 organization
I20230808002983 SC Practitioner - Family Practice 2860398773 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C159147CAMDFamily Medicine Physician
201803048NCMDFamily Medicine Physician
81686SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
1212 Med PLLC Family Medicine CurrentSince Mar 31, 2024 Accepting new patients
Martinsville Urgent Care LLC CurrentSince Nov 3, 2008 Accepting new patients
Openloop Healthcare Partners California PC Current Accepting new patients
Openloop Healthcare Partners PC CurrentSince Jun 27, 2023 Accepting new patients
Henry Burgess, MD, PC Family Medicine CurrentSince Aug 15, 2008 Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Jun 26, 2023 Accepting new patients
Doctor on Demand Professionals P C Family Medicine CurrentSince Apr 12, 2020 Accepting new patients
Central Virginia Family Physicians, Inc. Laboratory PastSince Oct 18, 2009 Accepting new patients
Saint Francis Medical Center Family Medicine Past Accepting new patients
Martinsville Primary Care LLC PastSince Nov 3, 2008 Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients

Locations

124 W Capitol Ave
Ste 1900
Little Rock, AR 72201
Phone (479) 336-8422

400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

3033 Campus Dr
Ste W225
Plymouth, MN 55441
Phone 4155043838 ext. 9238

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288

2 Office Park Ct
Columbia, SC 29223

1240 Winnowing Way
Unit 102
Mt Pleasant, SC 29466
Phone (828) 396-5634

1044 E Church St
Martinsville, VA 24112
Phone (276) 634-0010

6655 Scruggs Rd
Moneta, VA 24121
Phone (540) 719-1684

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

100 Shockoe Slip
Fl 2
Richmond, VA 23219
Phone (888) 364-2334

Interoperability endpoints

  • Direct secure messaging: henry.burgess@202362935902212.direct.elationemr.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1376516260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 LEES GAP RD",
            "city": "FINCASTLE",
            "state": "VA",
            "postal_code": "240903869",
            "telephone_number": "540-682-3082",
            "fax_number": "540-779-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E LABURNUM AVE STE 3",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232222134",
            "telephone_number": "540-200-8821",
            "fax_number": "540-779-7889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Broadway Ph",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122614",
            "country_code": "US",
            "telephone_number": "800-731-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "HENRY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C159147",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "81686",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-11833",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201803048",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101230868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080171551",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "441912",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "441913",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376516260",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5617456",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005605113",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005611211",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "441914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.