DR. GARY BRANDON BURTON (NPI# 1871717603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871717603 |
| Entity Type | Individual |
| Full Name | DR. GARY BRANDON BURTON |
| Credential | M.D. |
| Practice Address |
4000 Mitchellville Rd 306 Bowie MD 20716-3104 |
| Mailing Address |
2745 Woodlake Rd Mitchellville MD 20721-2567 |
| Practice Telephone | 3014413375 |
| Practice Fax Number | 3014414711 |
| Mailing Telephone | 3013905801 |
| Mailing Fax Number | 3013905803 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2009-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
D0052974 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 014200000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275821472 | Gary Dean Burton Jr. | Pharmacist | 402 S 12th Ave, Yakima, WA 98902-3115 | 2011-07-21 |
| 1316968761 | Gary Von Burton | Internal Medicine | 1501 Kings Hwy, Department of Medicine, Shreveport, LA 71103-4228 | 2006-07-21 |
| 1053369207 | Gary D Burton | Ophthalmology | 1040 Delaware Avenue, Marion, OH 43301-1814 | 2006-05-04 |
| Street Address |
4000 MITCHELLVILLE RD 306 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408955 | Lynne Ann Jacobs | Nurse Practitioner | 4000 Mitchellville Rd, A-414, Bowie, MD 20716-3104 | 2005-06-23 |
| 1073059515 | Lifestream Health Center | Clinical Medical Laboratory | 4000 Mitchellville Rd, Suite B322, Bowie, MD 20716-3104 | 2017-01-09 |
| 1730531278 | Jessica Lynn Rizzo | Physical Therapist | 4000 Mitchellville Rd, Suite A404, Bowie, MD 20716 | 2016-07-08 |
| 1538535992 | Lifestyle Hearing Professionals, LLC | Audiologist | 4000 Mitchellville Rd, Suite B124, Bowie, MD 20716-3104 | 2015-08-19 |
| 1841674777 | Lifestream Health Center | Non-Pharmacy Dispensing Site | 4000 Mitchellville Rd, B322, Bowie, MD 20716-3104 | 2015-07-09 |
| 1720468663 | Capital Orthopaedic Specialists LLC | Physical Therapist | 4000 Mitchellville Rd, Suite B116, Bowie, MD 20716-3104 | 2015-06-05 |
| 1366820284 | Capital Orthopaedic Specialists LLC | Durable Medical Equipment & Medical Supplies | 4000 Mitchellville Rd, Suite B 116, Bowie, MD 20716-3104 | 2015-05-12 |
| 1497154223 | Made To Move LLC | Clinic/Center | 4000 Mitchellville Rd, Suite 404a, Bowie, MD 20716-3104 | 2014-08-18 |
| 1841606258 | Doctors of Audiology, LLC | Audiologist | 4000 Mitchellville Rd, Suite B124, Bowie, MD 20716-3104 | 2014-07-07 |
| 1881007995 | Digestive and Biliary Disease Consultants LLC | Hospitalist | 4000 Mitchellville Rd, Ste B 430, Bowie, MD 20716-3104 | 2014-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982900221 | Gary Burton, M.d., LLC | Surgery | 4000 Mitchellville Rd, Suite 306, Bowie, MD 20716-3104 | 2011-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346713286 | Faulkner Plastic Surgery | Surgery | 6000 Executive Blvd Ste 204, North Bethesda, MD 20852-3803 | 2019-01-03 |
| 1043509748 | Salih Colakoglu | Surgery | 601 N Caroline St # 8152c, Baltimore, MD 21287-0006 | 2011-04-04 |
| 1376786418 | Emile Nathaniel Brown | Surgery | 1838 Greene Tree Rd Ste 370, Pikesville, MD 21208-7102 | 2009-04-17 |
| 1164682746 | Claire Susan Duggal | Surgery | 621 Ridgely Ave 401, Annapolis, MD 21401-1099 | 2008-06-17 |
| 1487813358 | Jerome S Plasse Md Pa | Surgery | 10085 Red Run Blvd #405, Owings Mills, MD 21117 | 2008-06-05 |
| 1073793501 | Bradley C Robertson Md L L C | Surgery | 1 Barrington Place, Suite 106, Bel Air, MD 21014-5607 | 2007-11-13 |
| 1093875288 | James E. Vogel | Surgery | 4 Park Center Ct, 100, Owings Mills, MD 21117-5611 | 2006-12-11 |
| 1750463964 | Stephane Corriveau | Surgery | 5530 Wisconsin Ave Ste 711, Chevy Chase, MD 20815-4401 | 2006-10-19 |
| 1477584753 | Alyson Delane Wells | Surgery | 10151 York Rd, Suites 112-114, Hunt Valley, MD 21030-3314 | 2006-07-05 |
| 1053381202 | Gary A Vela | Surgery | 8600 Snowden River Pkwy, Suite 308, Columbia, MD 21045-1982 | 2006-01-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.