Provider Demographics
NPI:1144414376
Name:BARBARA A. BURGGRAAFF, MD, PC
Entity Type:Organization
Organization Name:BARBARA A. BURGGRAAFF, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGGRAAFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-496-1986
Mailing Address - Street 1:1501 N BICKETT BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549-2178
Mailing Address - Country:US
Mailing Address - Phone:919-496-1986
Mailing Address - Fax:
Practice Address - Street 1:1501 N BICKETT BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2178
Practice Address - Country:US
Practice Address - Phone:919-496-1986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty