Provider Demographics
NPI:1366514002
Name:BURR, SCOTT COURTNEY (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:COURTNEY
Last Name:BURR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7002 QUISINBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4312
Mailing Address - Country:US
Mailing Address - Phone:301-633-5733
Mailing Address - Fax:301-352-0559
Practice Address - Street 1:7002 QUISINBERRY WAY
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4312
Practice Address - Country:US
Practice Address - Phone:301-633-5733
Practice Address - Fax:301-352-0559
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD20226207L00000X
MDD46628207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC023310300Medicaid
DC023310300Medicaid