Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher Sullivan Bourke Jr., DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1225456361

Christopher Sullivan Bourke Jr., DPM is a Podiatry in Leesburg, Virginia. Qualified in 2014, 12 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Pennsylvania and Virginia.

Years since qualifying
12
Licensed in
CA, PA, VA
In the registry since
2014
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

19450 Deerfield Ave Ste 200
Leesburg, VA 20176-6821
Phone: (703) 777-3262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6501 Loisdale Ct, Springfield, VA 22150-1826 — (703) 922-1000

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0103301260 (VA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence SC006559 (PA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence E5421 (CA)

Record details

NPI number1225456361
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 5, 2014
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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