MEDICARE: DR. BARRY WEBSTER BURKHARDT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	101023794	VA
2	207X00000X	Orthopaedic Surgery Physician	0101023794	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	200012628	OTHER	VA	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0900012	OTHER	VA	UNITED HEALTHCARE
2	386526	OTHER	VA	ANTHEM WEST END OPERATORY
3	042950	OTHER	VA	ANTHEM HEATHKEEPERS
4	0536731	OTHER	VA	AETNA HMO
5	2138260	OTHER	VA	UNITED HEALTHCARE MAMSI
6	285555	OTHER	VA	SOUTHERN HEALTH
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	18783	OTHER	VA	OPTIMA HEALTH
10	30640	OTHER	VA	SH CARENET
11	540885859	OTHER	VA	COMPMANAGEMENT
12	540885859	OTHER	VA	FIRST HEALTH/CCN
13	540885859	OTHER	VA	PRIVATE HEALTHCARE SYSTEM
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	540885859	OTHER	VA	CIGNA
16	540885859	OTHER	VA	CORVEL
17	540885859	OTHER	VA	FOCUS
18	540885859	OTHER	VA	C&O EMPLOYEE'S HEALTHCARE

General Provider Information

NPI Number	:	1740216746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY WEBSTER BURKHARDT M.D.

Provider Business Mailing Address
First Line	:	1115 BOULDERS PKWY
Second Line	:	SUITE 200
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-4067
Country	:	US
Telephone Number	:	804-560-5595
Fax Number	:	804-560-9029

Provider Business Practice Location Address
First Line	:	1400 JOHNSTON WILLIS DR
Second Line	:	SUITE A
City	:	RICHMOND
State	:	VA
Zip	:	23235-4765
Country	:	US
Telephone Number	:	804-379-8088
Fax Number	:	804-794-6067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	01/29/2013

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