DR. HOLLY JEAN BURGE M.D NPI 1710944186

NPI Information

NPI: 1710944186
Provider Name: DR. HOLLY JEAN BURGE, M.D
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

PECOS Registration: Yes

Address:
3949 BROWNING PL
RALEIGH, NC
ZIP 27609
Phone: (919) 787-8221
Get Directions

DR. Holly Jean Burge, M.D is a body imaging radiology in Raleigh, NC. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DR. Holly Jean Burge, M.D NPI is 1710944186. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3949 BROWNING PL
RALEIGH, NC
ZIP 27609-504
Phone: (919) 787-8221
Fax: (919) 789-4461

The NPI 1710944186 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	31116	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	63146	OTHER	NORTH CAROLINA	MEDCOST
2	16-54698	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
3	20047	OTHER	NORTH CAROLINA	BLUECROSS BLUESHIELD
4	E40650	MEDICARE UPIN	NORTH CAROLINA
5	2153883	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
6	2153883B	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
7	63174	OTHER	NORTH CAROLINA	MEDCOST
8	49972	OTHER	NORTH CAROLINA	MEDCOST
9	2153883A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
10	16-54697	OTHER	NORTH CAROLINA	UNITED HEALTHCARE
11	8920047	MEDICAID	NORTH CAROLINA
12	16-54696	OTHER	NORTH CAROLINA	UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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