Gregory Burkhart, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

0101048654 Issued in VA

Practice address

12224 Quorn LN
Reston, VA 20191-2635

Phone

(703) 758-7952

Fax

(703) 758-7952

NPI assigned

Nov 30, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1922541523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12224 QUORN LN",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912635",
            "telephone_number": "703-758-7952",
            "fax_number": "703-758-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12224 QUORN LN",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201912635",
            "telephone_number": "703-758-7952",
            "fax_number": "703-758-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "VA",
            "license": "0101048654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oanh Kim Bui-Platten, O.D.
• Tra P Bui, MD
• Tamra Marie Bullard, PT
• Paul Burke, M.D.
• Colleen Burkhart, PA-C
• Amanda Dora Burnette, PA-C
• Charles Ernest Burt, PH.D.
• Arlene Butler, M.S.W.
• Cara Elizabeth Butler
• Scott Michael Butler, MD

• Public Health & General Preventive Medicine Physician in Reston, VA
• Providers in Reston, VA by specialty
• Public Health & General Preventive Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.