Individual
DR. HENRY E BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 E LABURNUM AVE STE 3, RICHMOND, VA 23222-2134
(540) 200-8821
(540) 779-7889
Mailing address
674 LEES GAP RD, FINCASTLE, VA 24090-3869
(540) 682-3082
(540) 779-7889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101230868
VA
207Q00000X
Family Medicine Physician
201803048
NC
207Q00000X
Family Medicine Physician
81686
SC
207Q00000X
Family Medicine Physician
C159147
CA
207Q00000X
Family Medicine Physician
E-11833
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005605113
—
VA
05
—
005611211
—
VA
01
—
080171551
MEDICARE RAILROAD
VA
05
—
1376516260
—
VA
01
—
441912
ANTHEM
—
01
—
441913
ANTHEM
VA
01
—
441914
ANTHEM
—
05
—
5617456
—
VA
Enumeration date
02/10/2006
Last updated
01/22/2025
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