Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GASTON FAMILY MEDICINE, P. A.
Active
Organization
GASTON FAMILY MEDICINE, P. A.
Active
Other names
Kenneth D. Burgess, M. D.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH DAVID BURGESS M. D. (OWNER/ PRESIDENT)
(704) 824-9119
Entity
Organization
Contact information
Practice address
3845 SOUTH NEW HOPE ROAD, GASTONIA, NC 28056-8439
(704) 824-9119
(704) 824-2401
Mailing address
PO BOX 551178, GASTONIA, NC 28055-1178
(704) 824-9119
(704) 824-2401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32655
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19982
BCBS
NC
05
—
8919982
—
NC
01
—
P00297412
PALMETTO GBA
NC
Enumeration date
02/22/2008
Last updated
07/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers