Individual provider Active NPI

Jane A Burnham, MD PHD

  • Neurology Physician
  • Centennial, CO
National Provider Identifier
1710913751
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
29559 Issued in CO
Practice address
7180 E Orchard Rd
Suite 204
Centennial, CO 80111-1724
Phone
(303) 788-7440
Fax
(303) 788-4633
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 29559 CO Primary

Addresses

Primary practice location

7180 E Orchard Rd
Suite 204
Centennial, CO 80111-1724

Mailing address

7180 E Orchard Rd
Suite 204
Centennial, CO 80111-1724
Phone (303) 788-7440

Other identifiers 1

IdentifierTypeStateIssuer
01295591MedicaidCO

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
I20100804000875 CO Practitioner - Neurology 7214060714 Practice locations: Centennial, CO

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29559COMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1710913751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD",
            "address_2": "SUITE 204",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111724",
            "telephone_number": "303-788-7440",
            "fax_number": "303-788-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7180 E ORCHARD RD",
            "address_2": "SUITE 204",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801111724",
            "telephone_number": "303-788-7440",
            "fax_number": "303-788-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "JANE",
        "middle_name": "A",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "29559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01295591",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.