NPI 1437511912 · live from the CMS NPI Registry
Brant Matthew Burnham, DPM
Podiatrist in Payson, UT. National Provider Identifier 1437511912, active.
NPI record
| NPI | 1437511912 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 828 S 1040 W, Payson, UT 84651 |
| Practice phone | 801-980-9444 |
| Enumerated | March 24, 2016 |
| Last updated | December 10, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 006775 (NY) |
| Podiatrist primary | 213E00000X | 11327341-0501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.