MEDICARE: ROBERT 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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	MD0000017321	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	POO175298	OTHER	TN	PALMETTO GBA
2	8824185	OTHER		CIGNA
3	164942	OTHER	TN	UNISON
4	621663939	OTHER	TN	UNITED HEALTH CARE
5	A99130	OTHER	TN	HEALTHSPRINGS
6	4093416	OTHER	TN	BLUE CROSS BLUE SHIELD OF TN
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669470316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT BURNS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 746725
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6725
Country	:	US
Telephone Number	:	312-733-9730
Fax Number	:	312-929-0373

Provider Business Practice Location Address
First Line	:	2714 UNION AVENUE EXTENDED
Second Line	:	SUITE 150
City	:	MEMPHIS
State	:	TN
Zip	:	38112-4436
Country	:	US
Telephone Number	:	901-725-0872
Fax Number	:	901-278-6934

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/12/2024

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