Active NPI
P L Burroughs III MD PA
- Orthopaedic Surgery Physician
- Raleigh, NC
National Provider Identifier
1649444134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 9900177
- Legal business name
- P L BURROUGHS III MD PA
- Practice address
- 3410 Executive Dr
Ste 103
Raleigh, NC 27609-7457 - Phone
- (919) 872-5296
- Fax
- (919) 850-9718
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul L Burroughs III, MD PA
- Title
- Owner
- Phone
- (919) 872-5296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 9900177 | NC | Primary |
Addresses
Primary practice location
3410 Executive Dr
Ste 103
Raleigh, NC 27609-7457
Mailing address
3410 Executive Dr
Ste 103
Raleigh, NC 27609-7457
Phone (919) 872-5296
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447200000000",
"number": "1649444134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3410 EXECUTIVE DR",
"address_2": "STE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097457",
"telephone_number": "919-872-5296",
"fax_number": "919-850-9718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 EXECUTIVE DR",
"address_2": "STE 103",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097457",
"telephone_number": "919-872-5296",
"fax_number": "919-850-9718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P L BURROUGHS III MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2015-11-11",
"status": "A",
"authorized_official_last_name": "BURROUGHS",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-872-5296",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD PA"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "9900177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.