Provider Demographics
NPI:1184694838
Name:BURGETT, BRIGITTE KLINK (MD)
Entity type:Individual
Prefix:DR
First Name:BRIGITTE
Middle Name:KLINK
Last Name:BURGETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15215 SHADY GROVE RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3235
Mailing Address - Country:US
Mailing Address - Phone:301-330-3216
Mailing Address - Fax:301-330-0026
Practice Address - Street 1:15215 SHADY GROVE RD
Practice Address - Street 2:SUITE 500
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3235
Practice Address - Country:US
Practice Address - Phone:301-330-3216
Practice Address - Fax:301-330-0026
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD32891208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics