MEDICARE: DR. DENNIS M 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
1	2085R0202X	Diagnostic Radiology Physician	0101239114	VA
2	2085R0202X	Diagnostic Radiology Physician	M-2250	GU
3	2085R0202X	Diagnostic Radiology Physician	MD2009-0613	NM
4	2085R0202X	Diagnostic Radiology Physician	ME106918	FL
5	2085R0202X	Diagnostic Radiology Physician	036115271	IL
6	2085N0904X	Nuclear Radiology Physician	35.080751	OH
7	2085R0202X	Diagnostic Radiology Physician	MTL-2020-012	GU
8	2085R0202X	Diagnostic Radiology Physician	35.080751	OH
9	2085R0202X	Diagnostic Radiology Physician	25MA09633100	NJ
10	2085R0202X	Diagnostic Radiology Physician	MD423152	PA
11	2085N0904X	Nuclear Radiology Physician	13392	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	P00152305	OTHER	WV	RAILROAD MC
6	P00358707	OTHER	OH	RAILROAD MC
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043298417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS M BURTON M.D.

Provider Business Mailing Address
First Line	:	22100 BOTHELL EVERETT HWY
Second Line	:
City	:	BOTHELL
State	:	WA
Zip	:	98021-8431
Country	:	US
Telephone Number	:	208-416-2932
Fax Number	:

Provider Business Practice Location Address
First Line	:	5206 SW SAVAGE ST
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-5277
Country	:	US
Telephone Number	:	772-678-6225
Fax Number	:

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	08/13/2025

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