Individual
DR. CHARLES P BURNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11725 ILLINOIS ST, CARMEL, IN 46032-3008
(317) 688-4864
(317) 968-1144
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
01090382A
IN
208600000X
Surgery Physician
Primary
01090382A
IN
208600000X
Surgery Physician
19403
NH
208600000X
Surgery Physician
NHRT2883
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233690186
MEDICARE PTAN
IN
05
—
300078622
—
IN
Enumeration date
03/25/2016
Last updated
10/02/2023
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