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General NPI Number Information
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NPI Number | 1851778401
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Entity Type | Individual
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Provider Name | JAMES MICHAEL BURGESS MD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 2817 ROCK MERRITT AVENUE ORHTOPAEDIC CLINIC 1ST FLOOR
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City | FORT BRAGG
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State | NC
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Zip | 28310-2696
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Country | US
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Telephone | 910-907-6784
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Fax | 910-907-7907
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Provider Business Mailing Address
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Address Line | 2817 ROCK MERRITT AVENUE ORTHOPAEDIC CLINIC FLOOR 1
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City | FORT BRAGG
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State | NC
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Zip | 28310-0001
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Country | US
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Telephone | 910-907-6784
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2024-03192
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 94091
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 2024-03192
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 0101260856
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License Number State | VA
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