Philip D. Burton M.D. PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

29232 Issued in NU

Legal business name

PHILIP D. BURTON M.D. PLLC

Practice address

123 Cap Com Avenue
Suite One
Wake Forest, NC 27587-6517

Phone

(919) 554-0177

Fax

(919) 554-9277

NPI assigned

Aug 15, 2007

Last updated

Feb 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip Douglas Burton, M.D.NPI 1093742017

Title

Single Member

Phone

(919) 554-0177

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip D Burton

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1093742017
  Authorized official Same address or phone
• Stephen Brooks Irvin, PA-C

  • Medical Physician Assistant
  • Winston Salem, NC
  • NPI 1962734442
  NPD (past)

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1922290881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CAPCOM AVE",
            "address_2": "SUITE ONE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876517",
            "telephone_number": "919-554-0177",
            "fax_number": "919-554-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CAP COM AVENUE",
            "address_2": "SUITE ONE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876517",
            "telephone_number": "919-554-0177",
            "fax_number": "919-554-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP D. BURTON M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "SINGLE MEMBER",
        "authorized_official_telephone_number": "919-554-0177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": "29232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Peterson, M.A.,LPC
• Martin Tsvetanov Petkov
• Jeremy Phan, MS
• Shawn P Phelan, D.O.
• Stephanie Leeanne Phelps
• Gregory Phillips, DPM
• Margaret Faye Bergin Phillips, MA, CCC-SLP
• Phoenix and Oak Counseling
• Physical Therapy @ Home LLC
• Physiofit of North Carolina (PhysioFit)

• Family Medicine Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.