Active NPI
William Leroy Burner III, MD
- Orthopaedic Surgery Physician
- Washington, DC
National Provider Identifier
1619035524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101019813
- Practice address
- 1011 North Capitol Street NE
Washington, DC 20002-4236 - Phone
- (202) 898-5104
- Fax
- (202) 898-5474
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101019813 | VA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | D54601 | MD | |
| Orthopaedic Surgery Physician | 207X00000X | MD31536 | WA |
Addresses
Primary practice location
1011 North Capitol Street NE
Washington, DC 20002-4236
Mailing address
2101 East Jefferson Street Ppqa Medicare Comp. Unit 6
Kaiser Permanente Mid Atlantic Permanente Medical Group
Rockville, MD 20852-4908
Phone (301) 816-6660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101019813 | VA | MD | Orthopaedic Surgery Physician |
| MD31536 | WA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1619035524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 EAST JEFFERSON STREET PPQA MEDICARE COMP. UNIT 6",
"address_2": "KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-6660",
"fax_number": "301-816-6308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 NORTH CAPITOL STREET NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024236",
"telephone_number": "202-898-5104",
"fax_number": "202-898-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNER",
"first_name": "WILLIAM",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101019813",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D54601",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD31536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.