MEDICARE: GERALD FRANCIS BURNS 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	208100000X	Physical Medicine & Rehabilitation Physician	10350	LA

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

General Provider Information

NPI Number	:	1376686147
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERALD FRANCIS BURNS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 19004
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70179-0004
Country	:	US
Telephone Number	:	504-483-8909
Fax Number	:	504-483-2221

Provider Business Practice Location Address
First Line	:	4022 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6021
Country	:	US
Telephone Number	:	504-483-8909
Fax Number	:	504-483-2221

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	07/08/2007

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