MEDICARE: BRUCE ELLIOTT BURNS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A49064	CA

General Provider Information

NPI Number	:	1033272810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE ELLIOTT BURNS M.D.

Provider Business Mailing Address
First Line	:	PSC 411 BOX 6422
Second Line	:
City	:	APO
State	:	AE
Zip	:	09112-0065
Country	:	US
Telephone Number	:	11-496-3719
Fax Number	:

Provider Business Practice Location Address
First Line	:	MEDDAC-BAVARIA PSC 411
Second Line	:	UNIT 28037
City	:	APO
State	:	AE
Zip	:	09112-8037
Country	:	US
Telephone Number	:	314-590-3524
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	09/12/2024

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