MEDICARE: DR. DANIEL ROBERT BURT 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	2084P0800X	Psychiatry Physician	DR.0074624	CO

General Provider Information

NPI Number	:	1972008811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL ROBERT BURT MD

Provider Business Mailing Address
First Line	:	2373 CENTRAL PARK BLVD UNIT 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2300
Country	:	US
Telephone Number	:	303-531-8310
Fax Number	:	540-274-8558

Provider Business Practice Location Address
First Line	:	2373 CENTRAL PARK BLVD UNIT 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2300
Country	:	US
Telephone Number	:	303-531-8310
Fax Number	:	540-274-8558

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

Provider Enumeration Date	:	03/23/2018
Last Update Date	:	03/02/2026

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