MEDICARE: DR. BRYAN W BURNS MD

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	207Q00000X	Family Medicine Physician	0427222	KS

General Provider Information

NPI Number	:	1144273772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRYAN W BURNS MD

Provider Business Mailing Address
First Line	:	7500 W 160TH ST STE 200
Second Line	:
City	:	STILWELL
State	:	KS
Zip	:	66085-8100
Country	:	US
Telephone Number	:	913-814-8800
Fax Number	:	913-948-9320

Provider Business Practice Location Address
First Line	:	7500 W 160TH ST STE 200
Second Line	:
City	:	STILWELL
State	:	KS
Zip	:	66085-8100
Country	:	US
Telephone Number	:	913-814-8800
Fax Number	:	913-948-9320

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/20/2024

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