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Deactivated NPI 1598724361 Deactivated / Inactive NPI Male Practitioner

Dr. Frederick D Burroughs , MD

Pediatrics • Wake Forest, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Frederick Burroughs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 21, 2006
NPI Deactivation Date September 30, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Burroughs, MD was a registered Pediatrics practicing in Wake Forest, NC. Throughout an active medical career spanning 13 years, Dr. Burroughs provided care at the practice location at 11130 CAPITAL BLVD until profile deactivation on 2019-09-30.

Practice Location & Contact Primary Location

Practice Address

11130 Capital Blvd

Wake Forest, NC 275874513

Telephone 9194884094
Fax 9194884096
Associated Practice Facility / Clinic
🏢 Growing Child Pediatrics, Pa Facility NPI 1649239351

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Wake Forest, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
29 Specialists

Practicing in Wake Forest, NC (2422 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NC 16231

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1053371070

Doctor of Medicine (M.D.)

NPI 1104885979

Doctor of Medicine (M.D.)

NPI 1124087978

Doctor of Medicine (M.D.)

NPI 1134189251

Doctor of Medicine (M.D.)

Julie Lajoe , LPC

Counselor - Mental Health

NPI 1144500307

Licensed Professional Counselor

NPI 1184794166

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 30, 2019

Record deactivated on September 30, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 11130 CAPITAL BLVD, WAKE FOREST, NC 275874513 (Tel: 9194884094)

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Updated Business Mailing Address July 08, 2007

Registered at 11130 CAPITAL BLVD, WAKE FOREST, NC 275874513 (Tel: 9194884094)

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Provider Name / Credentials Updated July 08, 2007

Recorded as FREDERICK BURROUGHS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #16231 in NC)

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Initial NPI Registration & Enumeration March 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598724361
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2006
Last Update: July 08, 2007
Deactivation Date: September 30, 2019

Mailing Address

11130 Capital Blvd

Wake Forest, NC 275874513

Phone: 9194884094

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.