MEDICARE: DR. MICHAEL J BURNS DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	CO287	CO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	480024523	OTHER	CO	RAILROAD MEDICARE

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	:	1821046913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J BURNS DPM

Provider Business Mailing Address
First Line	:	2001 S SHIELDS ST
Second Line	:	BUILDING F
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-1827
Country	:	US
Telephone Number	:	970-493-4660
Fax Number	:	970-493-6710

Provider Business Practice Location Address
First Line	:	2001 S SHIELDS ST
Second Line	:	BUILDING F
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-1827
Country	:	US
Telephone Number	:	970-493-4660
Fax Number	:	970-493-6710

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	01/31/2013

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Directions to “ DR. MICHAEL J BURNS DPM” Practice Location

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