Individual provider Active NPI

Harry Albert Burnett III, M.D.

  • Family Medicine Physician
  • Erie, CO
National Provider Identifier
1306934286
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0022233 Issued in CO
Practice address
101 Erie Pkwy Ste 201E
Erie, CO 80516-4072
Phone
(303) 415-8820
Fax
(303) 938-3499
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X CO22233 CO
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X CO22233 CO
Family Medicine Physician 207Q00000X DR.0022233 CO Primary

Addresses

Primary practice location

101 Erie Pkwy Ste 201E
Erie, CO 80516-4072

Mailing address

5450 Western Ave
Suite B
Boulder, CO 80301-2709
Phone (303) 415-8900

Other identifiers 2

IdentifierTypeStateIssuer
015399OtherCOKAISER COMMERCIAL NUMBER
01222330MedicaidCO

Other names 1

  • Barry Burnett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506001430 CO Practitioner - Family PracticePractitioner - Preventive Medicine 3577552454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
Wayne State University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

4075 E 128TH Ave
Thornton, CO 80241-2201

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CO22233COMDEmergency Medicine Physician
DR.0022233COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health Emergency Medicine CurrentSince Apr 10, 2004 Accepting new patients
Boulder Community Health CurrentSince Apr 10, 2004 Accepting new patients
Catholic Health Initiatives Colorado Family Medicine CurrentSince May 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince May 1, 2023 Accepting new patients
Boulder Community Health Current Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health PastSince Aug 1, 2019 Accepting new patients

Locations

311 Mapleton Ave
Boulder, CO 80304
Phone (303) 544-5700

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

5450 Western Ave
Ste B
Boulder, CO 80301

4801 Riverbend Rd
Ste 300
Boulder, CO 80301
Phone (303) 415-8621

2750 Broadway St
Boulder, CO 80304
Phone (303) 440-3000

16677 Lowell Blvd
Ste 100
Broomfield, CO 80023
Phone (303) 415-8820

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

101 Erie Pkwy
Ste 201E
Erie, CO 80516
Phone (303) 415-8820

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1306934286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 WESTERN AVE",
            "address_2": "SUITE B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012709",
            "telephone_number": "303-415-8900",
            "fax_number": "303-443-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ERIE PKWY STE 201E",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805164072",
            "telephone_number": "303-415-8820",
            "fax_number": "303-938-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "HARRY",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "CO22233",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CO",
            "license": "CO22233",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0022233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "015399",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01222330",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARRY",
            "last_name": "BURNETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Erie, CO

Sources for this page

Verify at the official NPI Registry.