DR. JAMES BRACKEN BURNS JR. (NPI# 1508821067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508821067 |
| Entity Type | Individual |
| Full Name | DR. JAMES BRACKEN BURNS JR. |
| Credential | DO |
| Practice Address |
Dogwood Ave, Bldg #1 Room 2-42 Johnson City TN 37614 |
| Practice Telephone | 4234396263 |
| Mailing Telephone | (423) 439-6263 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 2911 | TN | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 34-008439 | OH | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
2911 | TN | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
OS10105 | FL | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
35-008439 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q016851 | 05 | |
| FL | 2784823-00 | 05 | |
| GA | 428749571A | 05 | |
| VA | 1508821067 | 05 | |
| OH | 2650448 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 410 N State of Franklin Rd Ste 130, Johnson City, TN 376046972 | 4234312477 | 4234312478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033656236 | James Burns | Occupational Therapist | 75 16th St S, St Petersburg, FL 33705-1600 | 2017-01-25 |
| 1710310081 | James Burns IIi | Nurse Practitioner | 111 Manhattan Ave, Waldwick, NJ 07463-2228 | 2013-08-09 |
| 1093048142 | James R Burns | Physical Therapist | 1229 Highway 42, Suite 260, Petal, MS 39465-2733 | 2009-09-08 |
| 1831398288 | James J. Burns | Marriage & Family Therapist | 1 Deer Hill Ct, Mill Valley, CA 94941-2467 | 2007-07-16 |
| 1457558488 | James Michael Burns | Speech-Language Pathologist | 7 1st Pl, Garden City, NY 11530-6101 | 2007-07-02 |
| 1639370042 | James Paul Burns | Massage Therapist | 3318 Overlook Dr Ne, St Petersburg, FL 33703-5534 | 2007-05-31 |
| 1306905153 | James Edward Burns | Dentist | 10961 Jefferson Hwy, River Ridge, LA 70123-1714 | 2006-12-07 |
| 1295811263 | James D Burns | Psychologist | 3604 W Lever Rd, Hart, MI 49420-9101 | 2006-10-31 |
| 1366485070 | James B Burns | Physical Therapist | Sidney/lamont, Mountain Home, TN 37684 | 2006-06-13 |
| 1770546970 | James Burns | Physical Therapist | 84 N Gallatin Ave, Uniontown, PA 15401-3009 | 2006-04-10 |
| Street Address |
DOGWOOD AVE, BLDG #1 ROOM 2-42 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1326682493 | Yoshihiro Kojima | Specialist/Technologist | 127 W John Robert Bill Dr, Johnson City, TN 37614 | 2019-11-01 |
| 1205360104 | Charlotte Lynn Alexander | Student in an Organized Health Care Education/Training Program | Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 | 2017-04-18 |
| 1679006787 | Joel Whipple | Student in an Organized Health Care Education/Training Program | Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 | 2017-04-05 |
| 1497295711 | Charles Faust | Dental Hygienist | 1276 Gilbreath Dr, Johnson City, TN 37614 | 2017-03-06 |
| 1265889414 | Dyan Darang | Student in an Organized Health Care Education/Training Program | Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 | 2016-05-18 |
| 1194170142 | Katharine Ann Lasher | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 | 2016-04-27 |
| 1992150189 | Nishika Shina Moradia | Student in an Organized Health Care Education/Training Program | East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 | 2016-04-26 |
| 1962884429 | Apurva Bansal | Student in an Organized Health Care Education/Training Program | 325 North State of Franklin, Johnson City, TN 37614 | 2015-06-22 |
| Find all providers in zip 37614 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316380744 | Davis Pappandreou Berry | Surgery | University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN 37920-0000 | 2013-04-16 |
| 1285679076 | Mid-south Surgery Associates, Pllc | Surgery | 686 W Forest Ave, Jackson, TN 38301-3940 | 2006-06-17 |
| 1861055964 | Brian J Thompson | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2019-04-15 |
| 1679912604 | Sneha G Bhat | Surgery | 1924 Alcoa Hwy # U-11, Knoxville, TN 37920 | 2013-06-24 |
| 1417393489 | Michael Scott Lallemand | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-1000 | 2013-05-17 |
| 1083956486 | Keelin Flannery Roche | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2635 | 2013-03-23 |
| 1689921496 | Ronnie N. Mubang | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2012-08-10 |
| 1376770016 | Stephen Paul Gondek | Surgery | 1211 21st Ave S, Nashville, TN 37212 | 2009-06-21 |
| 1922254622 | Christy Marie Lawson | Surgery | 1932 Alcoa Hwy, Building C Suite 270, Knoxville, TN 37920-1527 | 2008-08-13 |
| 1164626594 | Michael Joseph Krzyzaniak | Surgery | 1211 21st Ave S, 404 Medical Arts Building, Nashville, TN 37212-2717 | 2007-06-11 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37614 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.