Active NPI
William Richards Burgman, M.D.
- Otolaryngology Physician
- Waterloo, IA
National Provider Identifier
1720035900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 31500
- Practice address
- 2710 Saint Francis Dr
Suite 411
Waterloo, IA 50702 - Phone
- (319) 272-5805
- NPI assigned
- May 31, 2006
- Last updated
- May 24, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 31500 | IA | Primary |
Addresses
Primary practice location
2710 Saint Francis Dr
Suite 411
Waterloo, IA 50702
Mailing address
3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 319-5000
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 |
|---|---|---|---|
| 31500 | IA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1720035900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 W 9TH ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507025401",
"telephone_number": "319-319-5000",
"fax_number": "319-272-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 SAINT FRANCIS DR",
"address_2": "SUITE 411",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50702",
"telephone_number": "319-272-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGMAN",
"first_name": "WILLIAM",
"middle_name": "RICHARDS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IA",
"license": "31500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.