Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Elwood Johnson Burgess Jr., PSY.D.

Clinical Neuropsychologist in Raleigh, NC · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265644637

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Registry record

Entity type Individual (Type 1)

Name Dr. Elwood Johnson Burgess Jr.

Credential PSY.D.

Sex Male

Practice address Raleigh, NC, 27609

Phone (919) 785-9944

Fax (919) 785-9992

Enumeration date May 5, 2007

Last updated in NPPES May 26, 2018

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers · License 2249 (NC) Primary

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 2249 (NC) Secondary

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers · License 2249 (NC) Secondary

103TF0200X Forensic Psychologist Behavioral Health & Social Service Providers · License 2249 (NC) Secondary

103TR0400X Rehabilitation Psychologist Behavioral Health & Social Service Providers · License 2249 (NC) Secondary

PSYD · Doctor of Psychology: A clinical doctorate in psychology focused on professional practice. About the PSYD credential

Other identifiers

Identifier	Type	State	Issuer
0310E	Other	NC	BCBSNC
176TU	Other	NC	BC/BS EFF 2/1/2013
6000342	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1265644637 active?

Yes, as of the latest NPPES snapshot, NPI 1265644637 is active (record last updated 2018-05-26).

How do I verify Elwood Burgess's NPI record?

Cross-check NPI 1265644637 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-26.