Individual provider · Type 1 NPI

Jason Shade Burgess, MD

Surgery Physician · Charlotte, NC

NPI number 1043201361 Active

Practice location

1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112

Call (704) 333-0741 Map

Fax (704) 333-3356

Mailing address

PO Box 604350
Charlotte, NC 28260-4350

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician 2086S0129X200200093 (NC)
Surgery Physician Primary 208600000X200200093 (NC)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1043201361

Jason Shade Burgess, MD's National Provider Identifier is 1043201361, issued on Nov 4, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 5, 2025.