Individual provider Active NPI

Brian Toy Burgess, D.O, PHD

  • Gynecologic Oncology Physician
  • Pinehurst, NC
National Provider Identifier
1881039121
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
04112 Issued in KY
Practice address
220 Page Rd
Pinehurst, NC 28374-8748
Phone
(910) 715-8684
NPI assigned
Apr 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 04112 KY Primary

Addresses

Primary practice location

220 Page Rd
Pinehurst, NC 28374-8748

Mailing address

220 Page Rd
Pinehurst, NC 28374-8748
Phone (910) 715-8684

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200602001118 NC Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 6204100415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Gynecological Oncology
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-20, LLCGroup PAC ID 1355774670, 3 clinicians

Practice addresses (Care Compare)

220 Page Rd
Pinehurst, NC 28374-8748
Phone (910) 715-8684

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.07 of 100Reported as group
Quality
81.07
Promoting interoperability
91
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-20, LLC Gynecologic Oncology CurrentSince Jun 1, 2020 Accepting new patients

Locations

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

220 Page Rd
Pinehurst, NC 28374
Phone (910) 715-3500

Interoperability endpoints

  • Direct secure messaging: bburgess100164@firsthealth.direct-ci.net

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1881039121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748748",
            "telephone_number": "910-715-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PAGE RD",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748748",
            "telephone_number": "910-715-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "BRIAN",
        "middle_name": "TOY",
        "name_prefix": "Dr.",
        "credential": "D.O, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "KY",
            "license": "04112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.