Provider Demographics
NPI:1194775569
Name:BURTON, BRUCE EVERETTE (MD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:EVERETTE
Last Name:BURTON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1263 HOSPITAL DR NW
Mailing Address - Street 2:SUITE 240
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-2172
Mailing Address - Country:US
Mailing Address - Phone:812-972-1951
Mailing Address - Fax:812-738-0355
Practice Address - Street 1:1263 HOSPITAL DRIVE NW
Practice Address - Street 2:SUITE 240
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-2172
Practice Address - Country:US
Practice Address - Phone:812-972-1951
Practice Address - Fax:812-738-0355
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2020-11-02
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Provider Licenses
StateLicense IDTaxonomies
IN01031032207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine