Basic Information
Provider Information
NPI: 1003013830
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BURMAN
FirstName: ROBERT
MiddleName: WARD
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2045 N FRANKLIN ST
Address2:  
City: DENVER
State: CO
PostalCode: 802055437
CountryCode: US
TelephoneNumber: 3033384545
FaxNumber:  
Practice Location
Address1: 2045 N FRANKLIN ST
Address2:  
City: DENVER
State: CO
PostalCode: 802055437
CountryCode: US
TelephoneNumber: 3033384545
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/27/2007
LastUpdateDate: 09/26/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X43115AZN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X47534COY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202X22458WVN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
55470305AZ MEDICAID
0868178305CO MEDICAID
02766901COKAISER COMMERCIAL NUMBEROTHER


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