Active NPI
Gregory Lee Burns, PA C
- Physician Assistant
- Coral Springs, FL
National Provider Identifier
1073585329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103443
- Practice address
- 2901 Coral Hills Dr
Suite 150
Coral Springs, FL 33065-4146 - Phone
- (954) 755-2121
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9103443 | FL | Primary |
Addresses
Primary practice location
2901 Coral Hills Dr
Suite 150
Coral Springs, FL 33065-4146
Mailing address
510 NW 84TH Ave
Apt# 628
Plantation, FL 33324-1845
Phone (954) 270-7116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1073585329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 NW 84TH AVE",
"address_2": "APT# 628",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241845",
"telephone_number": "954-270-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 CORAL HILLS DR",
"address_2": "SUITE 150",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654146",
"telephone_number": "954-755-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "GREGORY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.