NPI 1073033809 · live from the CMS NPI Registry
Joshua Nelson Burg, DO
Emergency Medicine in Charleston, WV. National Provider Identifier 1073033809, active.
NPI record
| NPI | 1073033809 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 3200 Maccorkle Ave Se, Charleston, WV 25304 |
| Practice phone | 304-388-5432 |
| Mailing address | Po Box 1547, Charleston, WV 25326 |
| Enumerated | June 22, 2017 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116030766 (VA) |
| Emergency Medicine primary | 207P00000X | 3665 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.