NPI 1962795559 · live from the CMS NPI Registry
Nicholas Ray Burnham, DO
Emergency Medicine in Great Falls, MT. National Provider Identifier 1962795559, active.
NPI record
| NPI | 1962795559 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 1101 26th St S, Great Falls, MT 59405 |
| Practice phone | 406-455-5200 |
| Enumerated | May 16, 2011 |
| Last updated | April 5, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 5101019205 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.