Healthcare Provider Details
I. General information
NPI: 1548229453
Provider Name (Legal Business Name): BARBARA ANN BURR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 03/20/2006
Last Update Date: 02/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8901 WISCONSIN AVE. NATIONAL NAVAL MEDICAL CENTER
BETHESDA MD
20815
US
IV. Provider business mailing address
9910 FRANKLIN SQUARE DR # 2110
BALTIMORE MD
21236-4902
US
V. Phone/Fax
- Phone: 301-295-5050
- Fax: 301-295-5998
- Phone: 202-679-9944
- Fax: 301-295-5998
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | D84747 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085B0100X |
| Taxonomy | Body Imaging Physician |
| License Number | 35-07-8752-B |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: