Healthcare Provider Details

I. General information

NPI: 1275739765
Provider Name (Legal Business Name): ANDREW GARRETT BURKE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1746 COLE BLVD STE 100
LAKEWOOD CO
80401-3208
US

IV. Provider business mailing address

1746 COLE BLVD STE 100
LAKEWOOD CO
80401-3208
US

V. Phone/Fax

Practice location:
  • Phone: 303-914-8800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License NumberMD157964
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberCDRH.0073684
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: