Healthcare Provider Details
I. General information
NPI: 1376511907
Provider Name (Legal Business Name): JAMES E BURNS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 03/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
109 GOVERNOR ST ROOM 1314
RICHMOND VA
23219-3623
US
IV. Provider business mailing address
5666 ADVANCE MILLS RD
RUCKERSVILLE VA
22968-1500
US
V. Phone/Fax
- Phone: 804-864-7002
- Fax: 804-864-7023
- Phone: 434-973-2537
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 0101029940 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083P0901X |
| Taxonomy | Public Health & General Preventive Medicine Physician |
| License Number | 0101029940 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: