Healthcare Provider Details

I. General information

NPI: 1730112442
Provider Name (Legal Business Name): BARBARA A BURGGRAAFF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S THOMPSON ST
FLAGSTAFF AZ
86001-8759
US

IV. Provider business mailing address

5603 DURALEIGH RD STE B
RALEIGH NC
27612-2688
US

V. Phone/Fax

Practice location:
  • Phone: 928-226-6400
  • Fax: 928-226-6401
Mailing address:
  • Phone: 919-725-4661
  • Fax: 877-897-0672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number2005-00845
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number0101280540
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number25752
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: