Rosella O. Burgdorf, N.P.
Individual provider Active NPI Family Medicine Physician · Stuarts Draft, VA
NPI 1922028430 · NPPES record last updated Feb 19, 2010
Key facts
- NPI
- 1922028430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0001049059 (VA)
- Practice address
- 24 Gloucester Road
Uva Stuarts Draft Family Practice
Stuarts Draft, VA 24477 - Phone
- (540) 337-3710
- Fax
- (570) 337-0930
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001049059 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0001049059 | VA | Yes |
| Family Medicine Physician | 207Q00000X | 0024049059 | VA |
Addresses
Primary practice location
24 Gloucester Road
Uva Stuarts Draft Family Practice
Stuarts Draft, VA 24477
Mailing address
PO Box 9007
Charlottesville, VA 22906-9007
Phone (434) 295-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010229120 | Medicaid | VA |
Other providers in Stuarts Draft, VA
- Anita L Bell
- Blue Ridge Clinic of Chiropractic, LLC
- Jasmine Brickey
- Carol Tilley Brogan
- Megan Renee Campbell Yost
- Meneika L Chandler
- Charles Steven Chittum
- David Joel Clevenson
- Jennifer Cornwell
All providers in Stuarts Draft, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.