Active NPI
Robert Alan Burnett, DPM
- Podiatrist
- Paducah, KY
National Provider Identifier
1508853946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00122
- Practice address
- 2320 Broadway St
Ste 400
Paducah, KY 42001-7146 - Phone
- (270) 444-7905
- Fax
- (270) 444-7950
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00122 | KY | Primary |
Addresses
Primary practice location
2320 Broadway St
Ste 400
Paducah, KY 42001-7146
Mailing address
2320 Broadway St
Ste 400
Paducah, KY 42001-7146
Phone (270) 444-7905
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00122 | KY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1508853946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 BROADWAY ST",
"address_2": "STE 400",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017146",
"telephone_number": "270-444-7905",
"fax_number": "270-444-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 BROADWAY ST",
"address_2": "STE 400",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017146",
"telephone_number": "270-444-7905",
"fax_number": "270-444-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "ROBERT",
"middle_name": "ALAN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "KY",
"license": "00122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.