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Export Provider Record NPI 1295976256
Burke Dermatology Sc
Organization Subpart: NO
Active
NPI Number1295976256
NPI TypeNPI-2 Organization
SpecialtyDermatology
Provider Details
NPI1295976256
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2009-03-20
Last Updated2025-05-26
Authorized OfficialWilliam Burke
President
Phone: 7208369981
Mailing Address2942 Evergreen Pkwy Ste 100
Evergreen, CO 80439-7909
United States
Phone: (720) 836-9981 | Fax: (720) 386-9132
📍 View Map
Primary Practice Address2942 Evergreen Pkwy Ste 100
Evergreen, CO 80439-7909
United States
Phone: (720) 836-9981 | Fax: (720) 386-9132
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)IL3932097Blue Cross/Blue Shield of Illinois
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207N00000X – DermatologyIL036122682
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About NPI 1295976256

Burke Dermatology Sc is an organization registered in the CMS NPPES NPI Registry with NPI number 1295976256. The primary specialty listed is Dermatology. The organization is located in Evergreen, CO. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-03-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1295976256?

NPI 1295976256 belongs to Burke Dermatology Sc, a Dermatology in Evergreen, CO. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1295976256 active?

The current status of NPI 1295976256 in the NPPES registry is Active. The record was last updated on 2025-05-26.

What specialty is NPI 1295976256?

NPI 1295976256 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1295976256?

You can verify NPI 1295976256 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1295976256?

The primary practice address on file for NPI 1295976256 is 2942 Evergreen Pkwy Ste 100, Evergreen, CO 80439-7909. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1295976256 issued?

NPI 1295976256 was first issued (enumerated) on 2009-03-20. The NPPES record was last updated on 2025-05-26.

Practice Location Map

Burke Dermatology Sc is located at 2942 Evergreen Pkwy Ste 100, Evergreen, CO. Use the map below to find directions or verify the practice location.

📍 2942 Evergreen Pkwy Ste 100, Evergreen, CO 80439-7909  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Burke Dermatology Sc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1295976256. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dermatology036122682IL
Data Verified from CMS NPPES Last synced: 2026-08-05 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162