James Randall Burnett, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

014300 Issued in ME

Practice address

169 Park Row Ste 11
Brunswick, ME 04011-2039

Phone

(207) 522-4376

Fax

(207) 725-2473

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• James Randall Burnett Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1801808647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 PARK ROW STE 11",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112039",
            "telephone_number": "207-522-4376",
            "fax_number": "207-725-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PARK ROW STE 11",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112039",
            "telephone_number": "207-522-4376",
            "fax_number": "207-725-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "JAMES",
        "middle_name": "RANDALL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "014300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334240099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "BURNETT",
            "middle_name": "RANDALL",
            "suffix": "JR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Bubar
• Jessica L Buckner, DPM
• Jamie-Eve Bullock
• Kelly Katherine Bumiller, LCPC
• Ethan C Burke, DPT
• Paul R Burns, M.D.
• Justin Adam Bussone, D.O.
• Michael Burr Butterfield, OT/L
• Leslie Byrne, MS OTR/L
• Alicia Mello Caiazzi, PA

• Psychiatry Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Psychiatry Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.