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NPI Code Detail

MEDICARE: BRIAN D. BURKE M.D.

MEDICARE:   BRIAN D. BURKE  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
1207X00000XOrthopaedic Surgery PhysicianME74178FL

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 : 1225023989
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN D. BURKE M.D.
Provider Business Mailing Address
First Line : 8839 BRYAN DAIRY RD STE 110
Second Line :
City : LARGO
State : FL
Zip : 33777-1207
Country : US
Telephone Number : 727-623-9692
Fax Number : 877-788-0934
Provider Business Practice Location Address
First Line : 8839 BRYAN DAIRY RD STE 110
Second Line :
City : LARGO
State : FL
Zip : 33777-1207
Country : US
Telephone Number : 727-623-9692
Fax Number : 877-788-0934
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 05/01/2019

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Directions to “ BRIAN D. BURKE M.D.” Practice Location

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