Individual provider Active NPI

Richard Keith Burwell, D.O.

  • Dermatology Physician
  • Langley Afb, VA
National Provider Identifier
1619947405
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0102033533 Issued in VA
Practice address
1St Medical Group
45 Pine Road
Langley Afb, VA 23665-2080
Phone
(757) 764-6090
Fax
(757) 225-1411
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0102033533 VA Primary

Addresses

Primary practice location

1St Medical Group
45 Pine Road
Langley Afb, VA 23665-2080

Mailing address

1St Medical Group
45 Pine Road
Langley Afb, VA 23665-2080
Phone (757) 764-6090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usaf Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619947405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL GROUP",
            "address_2": "45 PINE ROAD",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652080",
            "telephone_number": "757-764-6090",
            "fax_number": "757-225-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL GROUP",
            "address_2": "45 PINE ROAD",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652080",
            "telephone_number": "757-764-6090",
            "fax_number": "757-225-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURWELL",
        "first_name": "RICHARD",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102033533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley Afb, VA

Sources for this page

Verify at the official NPI Registry.