Individual
DR. BRUCE WILSON BURCHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3803 ROBERT PORCHER WAY, GREENSBORO, NC 27410
(336) 286-3442
(336) 286-1156
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39X560
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8919912
—
NC
Enumeration date
10/25/2006
Last updated
09/24/2021
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