Provider Demographics
NPI:1740269950
Name:BURAS, ROBERT R (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:BURAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12622
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:443-481-6573
Mailing Address - Fax:443-481-6515
Practice Address - Street 1:2000 MEDICAL PARKWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3744
Practice Address - Country:US
Practice Address - Phone:443-481-5300
Practice Address - Fax:443-481-6705
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058729208600000X
MDD46955208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2143281OtherMAMSI
MD8147532OtherAETNA
VACA9037OtherMCR RAILROAD
VA1147937OtherAETNA HMO
VA4619170OtherAETNA NON HMO
MD94565204OtherBCBS
MD94565206OtherBCBS
VACO2375OtherMEDICARE GROUP
DCV8080010OtherBCBS
DCV8380010OtherBCBS
DCV8740010OtherBCBS
VA010229162Medicaid
VA186406OtherANTHEM
VA0101058729OtherLICENSE
MD94565205OtherBCBS
MD94565204OtherBCBS
VA186406OtherANTHEM
DCV8380010OtherBCBS
VAP00277107Medicare PIN
MD94565206OtherBCBS
MD8147532OtherAETNA