Individual
MICHAEL B BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DOCTORS PARK, ASHEVILLE, NC 28801-4500
(828) 253-5314
(828) 254-5216
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2015-00424
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0912525
CIGNA
NC
01
—
1190945
GATEWAY HEALTH
NC
05
—
1417271198
—
NC
01
—
19C76
BCBS
NC
01
—
7844964
COVENTRY
NC
01
—
P01499959
RAILROAD MEDICARE
NC
Enumeration date
03/24/2010
Last updated
10/24/2016
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