Provider Demographics
NPI:1326024613
Name:BURGESS, JOHN B JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:B
Last Name:BURGESS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:4045 SCENIC HWY
Mailing Address - Street 2:EMPR 126
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-4860
Mailing Address - Country:US
Mailing Address - Phone:225-977-8571
Mailing Address - Fax:225-977-8307
Practice Address - Street 1:4045 SCENIC HWY
Practice Address - Street 2:EMPR 126
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-4860
Practice Address - Country:US
Practice Address - Phone:225-977-8571
Practice Address - Fax:225-977-8307
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2016-02-26
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Provider Licenses
StateLicense IDTaxonomies
LAMD.207514207P00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine