Active NPI
Bruce T Burns, M.D.
- Specialist
- Macon, GA
National Provider Identifier
1699702811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 48882
- Practice address
- 800 1St St
Suite 410
Macon, GA 31201-8300 - Phone
- (478) 743-7068
- Fax
- (478) 741-1354
- NPI assigned
- Jun 26, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 48882 | GA | Primary |
Addresses
Primary practice location
800 1St St
Suite 410
Macon, GA 31201-8300
Mailing address
800 1St St
Suite 410
Macon, GA 31201-8300
Phone (478) 743-7068
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 816350611A | Medicaid | GA |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1699702811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 1ST ST",
"address_2": "SUITE 410",
"city": "MACON",
"state": "GA",
"postal_code": "312018300",
"telephone_number": "478-743-7068",
"fax_number": "478-741-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 1ST ST",
"address_2": "SUITE 410",
"city": "MACON",
"state": "GA",
"postal_code": "312018300",
"telephone_number": "478-743-7068",
"fax_number": "478-741-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "BRUCE",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "48882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "816350611A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.