Individual provider · Type 1 NPI
Dominique Burgess
Non-emergency Medical Transport (VAN) · Gibsonville, NC
NPI number
1619545191
Active
Practice location
203 Joe Gibson Dr
Gibsonville, NC 27249-9811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Early Intervention Provider Agency | 252Y00000X | None listed |
| Doula | 374J00000X | None listed |
| Non-emergency Medical Transport (VAN) Primary | 343900000X | None listed |
Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
About NPI 1619545191
Dominique Burgess's National Provider Identifier is 1619545191, issued on Jun 11, 2021. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Gibsonville, NC. The record was last updated on Apr 27, 2026.