RENEE BURDETT, MD PC
NPI 1760540967
Clinic/Center - Multi-Specialty in Woodbridge, VA

Active since December 04, 2006
13649 OFFICE PLACE, SUITE 102, WOODBRIDGE, VA 22192(703) 670-5738(703) 670-8213 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 3, 2020, Jan 20, 2020, Jan 17, 2020 (3 updates tracked since 2020).

  • Organization
  • Clinic/Center
  • Multi-Specialty

About RENEE BURDETT, MD PC

This page provides the complete NPI Profile along with additional information for Renee Burdett, Md Pc, a provider established in Woodbridge, Virginia operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1760540967 assigned on December 2006. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is V Renee Burdett Md (Medical Director Ceo)

NPI
1760540967 Verify this NPI
Provider Name
RENEE BURDETT, MD PC
Entity Type
Organization
Location Address
13649 OFFICE PLACE SUITE 102 WOODBRIDGE, VA 22192
Location Phone
(703) 670-5738
Location Fax
(703) 670-8213
Mailing Address
13649 OFFICE PLACE SUITE 102 WOODBRIDGE, VA 22192
Mailing Phone
(703) 670-5738
Mailing Fax
(703) 670-8213
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2006
Last Update Date
02-03-2020
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084B0040XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Behavioral Neurology & Neuropsychiatry

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

V RENEE BURDETT MD

Authorized Official Title
MEDICAL DIRECTOR CEO
Authorized Official Phone
(703) 670-5738

Reviews for RENEE BURDETT, MD PC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
13649 OFFICE PLACE, SUITE 102
WOODBRIDGE, VA 22192
Psychologist (Clinical)
13649 OFFICE PLACE, SUITE 102
WOODBRIDGE, VA 22192
Social Worker (Clinical)
13649 OFFICE PLACE, SUITE 102
WOODBRIDGE, VA 22192

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760540967, enumerated as an "organization" on December 04, 2006.

The provider is located at 13649 OFFICE PLACE SUITE 102 WOODBRIDGE, VA 22192 and the phone number is (703) 670-5738.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.