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NPI Code Detail

MEDICARE: DOUGLAS S BURSON DC

MEDICARE: DOUGLAS S BURSON DC
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
1111N00000XChiropractor3617012WI
2111N00000XChiropractorCHR.0006980CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215922141
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS S BURSON DC
Provider Business Mailing Address
First Line : 5445 DTC PKWY STE 1130
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3038
Country : US
Telephone Number : 720-749-5599
Fax Number : 720-925-5897
Provider Business Practice Location Address
First Line : 520 ZANG ST STE 250
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-8347
Country : US
Telephone Number : 303-214-7907
Fax Number : 720-925-5897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 04/23/2024

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Directions to “ DOUGLAS S BURSON DC” Practice Location

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