Provider Demographics
NPI:1962740761
Name:BERNARD S. BURTON DC PA
Entity type:Organization
Organization Name:BERNARD S. BURTON DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-742-0332
Mailing Address - Street 1:7800 W OAKLAND PARK BLVD
Mailing Address - Street 2:BUILDING D, SUITE 110
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-6741
Mailing Address - Country:US
Mailing Address - Phone:954-742-0332
Mailing Address - Fax:954-742-7344
Practice Address - Street 1:7800 W OAKLAND PARK BLVD
Practice Address - Street 2:BUILDING D, SUITE 110
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6741
Practice Address - Country:US
Practice Address - Phone:954-742-0332
Practice Address - Fax:954-742-7344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-29
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty