DR. HARRY ALBERT III BURNETT (M.D.) – Family Medicine Physician, NPI 1306934286

DR. HARRY ALBERT III BURNETT (M.D.) is a healthcare provider. based in Boulder, Colorado. specializing in FAMILY PRACTICE, PREVENTIVE MEDICINE. They hold the professional credentials M.D.. They hold a License No. CO22233 (CO). The NPI Number for DR. HARRY ALBERT III BURNETT (M.D.) is 1306934286

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. HARRY ALBERT III BURNETT (M.D.)
NPI
1306934286
Phone
(303) 415-8900
Address
5450 WESTERN AVE
Enumeration Date
10 October 2006
Last Update Date
15 January 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7197764780
Graduation Year
1977 (49 years ago)
PAC ID
3577552454
Group Practice PAC ID
8022927342
Professional Enrollment ID
I20040506001430
Address ID
CO808635008WO41XXX67XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

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Provider Addresses for DR. HARRY ALBERT III BURNETT (M.D.)

  • 5450, Western Avenue, Boulder, Boulder County, Colorado, 80301, United States

    SUITE B

    BOULDER, CO 803012709

    Phone: (303) 415-8900

    Fax: (303) 443-6476

    Type: Mailing

  • Erie Parkway, Erie, Weld County, Colorado, 80516, United States

    ERIE, CO 805164072

    Phone: (303) 415-8820

    Fax: (303) 938-3499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040506001430IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022927342View full group profile
NameSpecialtyState
Physician AssistantCO
Radiation OncologyTX
-CO
Hospitalist, General Practice, Family PracticeCO
Cardiovascular Disease (Cardiology)NM
Family PracticeOK
Internal MedicineCO
-IL
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicinePA

Reviews

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Frequently asked questions

Is there an official ID for DR. HARRY ALBERT III BURNETT (M.D.) in U.S. healthcare records?
The official identifier for DR. HARRY ALBERT III BURNETT (M.D.) is NPI 1306934286.
Would DR. HARRY ALBERT III BURNETT (M.D.) appear as active to a payer?
You can treat DR. HARRY ALBERT III BURNETT (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DR. HARRY ALBERT III BURNETT (M.D.)?
At a glance, DR. HARRY ALBERT III BURNETT (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. HARRY ALBERT III BURNETT (M.D.)?
Directory geography for DR. HARRY ALBERT III BURNETT (M.D.) centers on Boulder, Colorado.
Can I trust this NPI listing for DR. HARRY ALBERT III BURNETT (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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