NPI 1043201361

Jason Shade Burgess, MD

Practitioner Surgery Physician Charlotte, NC

Practice location

Address: 1918 Randolph Rd STE 300, Charlotte, NC 28207-1112
Phone: (704) 333-0741
Fax: (704) 333-3356
Mailing address: PO Box 604350, Charlotte, NC 28260-4350

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 200200093 (NC)

Other Surgery providers in North Carolina →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 200200093 (NC)

Registry record

NPI: 1043201361
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Nov 2005
Record last updated: 5 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.