Provider Demographics
NPI:1013974260
Name:BURCHAM, JAMES RUSSELL III (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RUSSELL
Last Name:BURCHAM
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:750 POTOMAC ST
Mailing Address - Street 2:SUITE 223
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6700
Mailing Address - Country:US
Mailing Address - Phone:303-340-4600
Mailing Address - Fax:303-367-8300
Practice Address - Street 1:750 POTOMAC ST
Practice Address - Street 2:SUITE 223
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6700
Practice Address - Country:US
Practice Address - Phone:303-340-4600
Practice Address - Fax:303-367-8300
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-28
Last Update Date:2023-09-19
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Provider Licenses
StateLicense IDTaxonomies
CO20123207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO13595OtherBLUE CROSS BLUE SHIELD
CO01201235Medicaid
CO920561OtherEYE SPECIALIST
E82849Medicare UPIN
COCE7008Medicare PIN