DR. GLEN E BURMEISTER M.D. NPI 1366428500

NPI Information

NPI: 1366428500
Provider Name: DR. GLEN E BURMEISTER, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
501 E HAMPDEN AVE
ENGLEWOOD, CO
ZIP 80113
Phone: (303) 761-9190
Get Directions

DR. Glen E Burmeister, M.D. is a diagnostic radiology radiology in Englewood, CO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Glen E Burmeister, M.D. NPI is 1366428500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 E HAMPDEN AVE
ENGLEWOOD, CO
ZIP 80113-702
Phone: (303) 761-9190

The enumeration date for this NPI number is 12/20/2005 and was last updated on 5/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	17672	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	300048674	OTHER	COLORADO	RR MCRE MIC
2	E32540	MEDICARE UPIN	COLORADO
3	CO305780	MEDICARE PIN	COLORADO
4	922288	OTHER	ARIZONA	AZ MEDICAID
5	84-0597929	MEDICAID	NEBRASKA
6	10025709000	MEDICAID	NEBRASKA
7	C22014	MEDICARE PIN	COLORADO
8	1366428500	MEDICAID	WYOMING
9	1366428500	MEDICAID	MONTANA
10	01176726	MEDICAID	COLORADO
11	P00796281	MEDICARE PIN	NEBRASKA
12	NA1215056	OTHER	NEBRASKA	WPS NA 1215 RIN MCR PIN
13	XPY201235	OTHER	CALIFORNIA	CA MEDICAID
14	53212901	OTHER	TEXAS	TX MEDICAID
15	C211938	MEDICARE PIN	COLORADO
16	300090005	OTHER	COLORADO	RR MCRE RIA
17	300090006	OTHER	COLORADO	RR MCRE DIA
18	1679513196	MEDICAID	UTAH
19	$$$$$$$$$	MEDICAID	ILLINOIS
20	85429562	MEDICAID	NEW MEXICO
21	NA1214056	OTHER	NEBRASKA	WPS NA 1214 RIN MCR PIN
22	02312247	OTHER	NEW YORK	NY MEDICAID
23	200418410A	OTHER	KANSAS	KS MEDICAID
24	8492233	OTHER	WASHINGTON	WA MEDICAID
25	CO305780	OTHER	NEBRASKA	MEDICARE TRAILBLAZER
26	104686051	OTHER	MICHIGAN	MI MEDICAID
27	CW4078	MEDICARE PIN	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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