William Patrick Burgess, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

26089 Issued in NC

Practice address

2711 Randolph Rd
BLDG 400
Charlotte, NC 28207-2027

Phone

(704) 348-2992

Fax

(704) 334-3061

NPI assigned

May 16, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1437101037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 SCOTT AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035848",
            "telephone_number": "704-332-0366",
            "fax_number": "704-971-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD",
            "address_2": "BLDG 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-348-2992",
            "fax_number": "704-334-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "26089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79-19989",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260890",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Burgess
• Laila Sinclair Burgess
• Lucia Goodwin Burgess, MD
• Roxanne L Burgess, DPM
• Shawn T Burgess, MD
• Kenneth Benjamin Burgett, PA-C
• Tara Blalock Burgher, DO
• S Beth Burgin, CERTIFIED ROLFER
• Mya A Burgoon
• Sandra Patricia Burgos Mora, BCBA

• Nephrology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.