Provider Demographics
NPI:1821046913
Name:BURNS, MICHAEL J (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:BURNS
Suffix:
Gender:M
Credentials:DPM
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Other - First Name:
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Mailing Address - Street 1:2001 S SHIELDS ST
Mailing Address - Street 2:BUILDING F
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-1827
Mailing Address - Country:US
Mailing Address - Phone:970-493-4660
Mailing Address - Fax:970-493-6710
Practice Address - Street 1:2001 S SHIELDS ST
Practice Address - Street 2:BUILDING F
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-1827
Practice Address - Country:US
Practice Address - Phone:970-493-4660
Practice Address - Fax:970-493-6710
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COCO287213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01131002Medicaid
CO480024523OtherRAILROAD MEDICARE
CO480024523OtherRAILROAD MEDICARE
COT50096Medicare UPIN