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NPI Code Detail

MEDICARE: DR. REGINALD A BURTON M.D.

MEDICARE: DR. REGINALD A BURTON 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
12086S0127XTrauma Surgery Physician22202NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11700636OTHERNEUHC - HSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
430650OTHERNEBCBS - HSS

General Provider Information

NPI Number : 1134161508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REGINALD A BURTON M.D.
Provider Business Mailing Address
First Line : PO BOX 67250
Second Line :
City : LINCOLN
State : NE
Zip : 68506-7250
Country : US
Telephone Number : 402-436-2855
Fax Number : 402-436-2858
Provider Business Practice Location Address
First Line : 2300 S 16TH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68502-3704
Country : US
Telephone Number : 402-440-4405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 05/24/2010

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