Active NPI
Walter Woodrow Burns III, MD
- Surgery Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9601258
- Practice address
- 120 William Penn PLZ
Durham, NC 27704-2150 - Phone
- (919) 220-5255
- Fax
- (919) 313-1276
- NPI assigned
- Nov 10, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9601258 | NC | Primary |
Addresses
Primary practice location
120 William Penn PLZ
Durham, NC 27704-2150
Mailing address
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
Other practice location 1
2916 Blue Ridge Rd
Raleigh, NC 27607-6424
Phone (919) 784-7874
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127KG | Other | NC | BCBSNC |
| 89127KG | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wburns115806@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2916 Blue Ridge Rd
Raleigh, NC 27607-6424
Phone (919) 784-7874
Hospital & facility affiliations
- Well Care Home Health, Inc
- Bayada Home Health Care, Inc.
- Amedisys Home Health
- Rex Hospital
- Johnston Health
- Unc Hospitals
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 589 |
| Removal of skin lesions | 42 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9601258 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina MG, LLC | Surgery | Current | Accepting new patients |
| Emergeortho PA | Surgery | Current | Accepting new patients |
| Emergeortho PA | Current | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients | |
| Regional Surgical Associates PA | Surgery | Past | Accepting new patients |
Locations
4315 Ben Franklin Blvd
#101
Durham, NC 27704
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
6602 Knightdale Blvd
Ste 110
Knightdale, NC 27545
Phone (919) 747-5300
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
Interoperability endpoints
- wburns115806@direct.unc.nchie.net
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1376592964
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
-
- Surgery Physician
- Durham, NC
- NPI 1952385767
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Durham, NC
- NPI 1083669873
-
- Home Health Agency
- Raleigh, NC
- NPI 1285876250
-
- General Acute Care Hospital
- Smithfield, NC
- NPI 1619911104
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
-
- Home Health Agency
- Raleigh, NC
- NPI 1811998990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1831170323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WILLIAM PENN PLZ",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042150",
"telephone_number": "919-220-5255",
"fax_number": "919-281-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WILLIAM PENN PLZ",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042150",
"telephone_number": "919-220-5255",
"fax_number": "919-313-1276"
}
],
"practiceLocations": [
{
"address_1": "2916 Blue Ridge Rd",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276076424",
"country_code": "US",
"telephone_number": "919-784-7874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNS",
"first_name": "WALTER",
"middle_name": "WOODROW",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2021-11-23",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "9601258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "127KG",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89127KG",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wburns115806@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2916 Blue Ridge Rd",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276076424",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.