Organization Active NPI

J J Burgin MD LLC

  • Internal Medicine Physician
  • Shreveport, LA
National Provider Identifier
1003604240
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
J J BURGIN MD LLC
Practice address
1032 Lochinvar LN
Shreveport, LA 71106-8172
Phone
(562) 569-1601
NPI assigned
Apr 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jode Jann Burgin, MD
Title
Owner
Phone
(562) 569-1601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1032 Lochinvar LN
Shreveport, LA 71106-8172

Mailing address

1032 Lochinvar LN
Shreveport, LA 71106-8172
Phone (562) 569-1601

Other names 1

  • J.J.Burgin, MD, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250610001410 LA Part B Supplier - Clinic/Group Practice 3577073436 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Locations

670 Albemarle Dr
Ste 902
Shreveport, LA 71106
Phone (562) 569-1601

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1003604240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 LOCHINVAR LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068172",
            "telephone_number": "562-569-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 LOCHINVAR LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068172",
            "telephone_number": "562-569-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J J BURGIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-09-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "BURGIN",
        "authorized_official_first_name": "JODE",
        "authorized_official_middle_name": "JANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-569-1601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.J.Burgin, MD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.