Provider Demographics
NPI:1073640629
Name:BURNS, DAVID A (PSYCHIATRIST)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:BURNS
Suffix:
Gender:M
Credentials:PSYCHIATRIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 HOLIDAY CT
Mailing Address - Street 2:A-4
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-3000
Mailing Address - Country:US
Mailing Address - Phone:615-791-4208
Mailing Address - Fax:615-791-9852
Practice Address - Street 1:109 HOLIDAY CT
Practice Address - Street 2:A-4
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-3000
Practice Address - Country:US
Practice Address - Phone:615-791-4208
Practice Address - Fax:615-791-9852
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3059348Medicare ID - Type Unspecified
TND97121Medicare UPIN