Organization Active NPI

P L Burroughs III MD PA

  • Orthopaedic Surgery Physician
  • Raleigh, NC
National Provider Identifier
1649444134
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9900177 Issued in NC
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

Updated by the provider on Nov 11, 2015

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Member 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.

Verify at the official NPI Registry.