Active NPI
Michael Burgess
- Medical Oncology Physician
- Rancho Viejo, TX
National Provider Identifier
1730560525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- E0224
- Practice address
- 300 Zapata Ave
Rancho Viejo, TX 78575-9654 - Phone
- (956) 350-8998
- NPI assigned
- Jun 17, 2015
- Last updated
- Jun 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | E0224 | TX | Primary |
Addresses
Primary practice location
300 Zapata Ave
Rancho Viejo, TX 78575-9654
Mailing address
300 Zapata Ave
Rancho Viejo, TX 78575-9654
Phone (956) 350-8998
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0224 | TX | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1730560525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ZAPATA AVE",
"city": "RANCHO VIEJO",
"state": "TX",
"postal_code": "785759654",
"telephone_number": "956-350-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ZAPATA AVE",
"city": "RANCHO VIEJO",
"state": "TX",
"postal_code": "785759654",
"telephone_number": "956-350-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "E0224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Viejo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.