NPI Code Details Logo

NPI 1750471983

NPI 1750471983 : BRIAN FRED BURNS M.D. : KERRVILLE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1750471983
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    BRIAN FRED BURNS M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/16/2006
-----------------------------------------------------
    Last Update Date     |    10/22/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    712 HILL COUNTRY DR STE 100 
-----------------------------------------------------
    City                 |    KERRVILLE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78028-6166
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    830-890-5181
-----------------------------------------------------
    Fax                  |    361-576-5680
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 1416 
-----------------------------------------------------
    City                 |    SAN ANTONIO
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78295-1416
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-558-6288
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2082S0105X
-----------------------------------------------------
    Taxonomy Name        |    Surgery of the Hand (Plastic Surgery) Physician
-----------------------------------------------------
    License Number       |    G9333
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    G9333
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.