Active NPIIndividual provider

B G Burnham, PA-C

Physician Assistant in East Lyme, Connecticut

NPI Number1235112418
Practice location
324 Flanders RD, East Lyme, CT 06333-1735
Fax
860-739-2523
Last updated
July 13, 2026

B Geoffrey Burnham is a Physician Assistant based in East Lyme, CT. B Geoffrey Burnham practices in East Lyme, CT and has the professional credentials of PA-C. The NPI Number for B Geoffrey Burnham is 1235112418 and holds a License No. 000080 (CT). The current practice location address for B Geoffrey Burnham is 324 Flanders RD, East Lyme, CT 06333-1735 and can be reached out via phone at 860-739-6953 and via fax at 860-739-2523.

Provider Profile Details

NPI Number
1235112418
Provider Name
B Geoffrey Burnham
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
324 Flanders RD, East Lyme, CT 06333-1735
Phone Number
860-739-6953
Fax Number
860-739-2523
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
324 Flanders RD
East Lyme, CT 06333-1735
Zip
06333-1735
Phone Number
860-739-6953
Fax Number
860-739-2523
East Lyme, CT 06333Get directions →

Provider Business Mailing Address Details

Address
324 Flanders RD
East Lyme, CT 06333-1735
City
East Lyme
State
CT
Zip
06333-1735
Phone Number
860-739-6953
Fax Number
860-739-2523

License Information

License Number
000080
License State
CT
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of B G Burnham, PA-C?

The NPI number of B G Burnham, PA-C is 1235112418. It was assigned on November 22, 2005 and is currently active in the NPPES registry.

What is the specialty of B G Burnham, PA-C?

B G Burnham, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 000080.

Where does B G Burnham, PA-C practice?

The practice location is 324 Flanders RD, East Lyme, CT 06333-1735. The office can be reached at 860-739-6953 (phone) or 860-739-2523 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235112418 directly on the NPPES registry website.

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