DR. WILLIAM D. BURLESON (NPI# 1922060722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922060722 |
Entity Type | Individual |
Full Name | DR. WILLIAM D. BURLESON |
Credential | M.D. |
Practice Address |
1732 Medical Park Dr Biloxi MS 39532-2131 |
Practice Telephone | 2283142510 |
Practice Fax Number | 2283142517 |
Enumeration Date | 2006-04-05 |
Last Update Date | 2013-10-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MS19362 | MS | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
J1203 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | MEDICARE GROUP # | C00047 | 01 |
MS | 02007574 | 05 | |
MS | BLUE CROSS | 000190059 | 01 |
TX | RR/MEDICARE | P00219726 | 01 |
MS | MEDICAID GROUP # | 09014182 | 01 |
TX | CSHCN | 1033557-03 | 01 |
TX | 1033557-03 | 05 | |
TX | BLUE SHIELD | 8P2376 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720073117 | William Rowell Burleson | Urology | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2005-09-13 |
1780230128 | William Burleson | Physical Therapist | 15543 N Reems Rd Ste 133, Surprise, AZ 85374-9582 | 2019-08-12 |
Street Address |
1732 MEDICAL PARK DR |
City | BILOXI |
State | MS |
Zip Code | 39532-2131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851505309 | Biloxi Radiation Oncology Center LLC | Radiology | 1732 Medical Park Dr, Biloxi, MS 39532-2131 | 2007-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
Find all providers in zip 39532 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932548484 | Steven Dan Gresswell | Radiology | 301 Fisher St, Biloxi, MS 39534 | 2013-06-18 |
1851505309 | Biloxi Radiation Oncology Center LLC | Radiology | 1732 Medical Park Dr, Biloxi, MS 39532-2131 | 2007-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700152212 | Eplus Oncologics Mississippi, LLC | Radiology | 127 South 13th Street, Laurel, MS 39440-4111 | 2012-03-29 |
1528330214 | Robert H Jones Md PC | Radiology | 65 Hickory Dr, West Point, MS 39773-3948 | 2012-01-27 |
1215269881 | John Wycoff Godsey | Radiology | 502 Martin Ave., Ocean Springs, MS 39564 | 2010-02-08 |
1174613830 | Vicksburg Oncology Associates LLC | Radiology | 970 Lakeland Dr Ste 34, Jackson, MS 39216-4640 | 2006-10-13 |
1881791812 | Russell Scott Anderson Md Pa | Radiology | 1704 23rd Avenue, Meridian, MS 39301 | 2006-09-20 |
1730292798 | Burnett Hanson | Radiology | 1501 Aston Ave, Mccomb, MS 39648-2734 | 2006-08-16 |
1457364556 | L. Cameron Pimperl | Radiology | 127 S 13th Ave, Laurel, MS 39440-4111 | 2006-08-13 |
1720020795 | Elbert Alan Duncan | Radiology | 990 South Madison Street, Tupelo, MS 38801-6308 | 2006-06-12 |
1184607210 | Srinivasan Vijayakumar | Radiology | 350 W Woodrow Wilson Ave, Suite 16, Jackson, MS 39213-7681 | 2005-11-22 |
1952303182 | David A Wahl | Radiology | 2368 Grove St, Vicksburg, MS 39183-2857 | 2005-06-01 |
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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.