Organization Active NPI

Tracy L Burney MD PA

  • Specialist
  • Lake Mary, FL
National Provider Identifier
1841462637
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0070713 Issued in FL
Legal business name
TRACY L BURNEY MD PA
Doing business as
Seminole Urology
Practice address
3272 W Lake Mary Blvd
1810
Lake Mary, FL 32746-3589
Phone
(407) 302-9595
Fax
(407) 302-3525
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tracy L Burney, M.D
Title
Owner
Phone
(407) 302-9595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0070713 FL Primary

Addresses

Primary practice location

3272 W Lake Mary Blvd
1810
Lake Mary, FL 32746-3589

Mailing address

3272 W Lake Mary Blvd
1810
Lake Mary, FL 32746-3589
Phone (407) 302-9595

Other names 1

  • Seminole Urology Doing business as

National Provider Directory

National Provider Directory

Locations

1565 Saxon Blvd
Ste 204
Deltona, FL 32725
Phone (386) 742-4343

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1841462637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 W LAKE MARY BLVD",
            "address_2": "1810",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463589",
            "telephone_number": "407-302-9595",
            "fax_number": "407-302-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 W LAKE MARY BLVD",
            "address_2": "1810",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463589",
            "telephone_number": "407-302-9595",
            "fax_number": "407-302-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY L BURNEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BURNEY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-302-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0070713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seminole Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.