NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JENNIFER E BURGART, MD
550 WHITE OAK ST
ASHEBORO, NC27203-4710
 Phone: 336-625-1360
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JENNIFER E BURGART · (Female)

NPI Number 1003010463
Status Active
Credentials MD
Entity Individual
Enumeration date 06/12/2007
Last updated 11/14/2018 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 2012-02044
  • TN License # 52437
  • NC Medicaid 5907686
  • TN Medicaid Q000626
  • VA Medicaid 1003010463
  • NC Other 07868 BC/BS
  • TN Other 6039935 BCBS TENNESSEE
  • VA Other PAR AETNA
  • VA Other 302882 ANTHEM
  • VA Other 302884 ANTHEM PFM
  • VA Other PAR CIGNA
  • VA Other PAR CORVEL/CORCARE
  • VA Other PAR FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
  • VA Other PAR MULTIPLAN
  • VA Other 10022001 SENTARA/OPTIMA
  • VA Other -002 -003 TRICARE/CHAMPUS
  • VA Other 2180421 UHC/MAMSI
  • VA Other PAR USA MANAGED CARE
  • VA Other PAR VA HEALTH NETWORK
  • VA Other PAR VIRGINIA PREMIER HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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