Individual provider Active NPI

Michael Lane Burleson, DC

  • Chiropractor
  • Daphne, AL
National Provider Identifier
1023173085
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1712 Issued in AL
Practice address
807 Wilson Ave
Daphne, AL 36526-4221
Phone
(251) 626-9898
NPI assigned
Dec 27, 2006
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1712 AL Primary

Addresses

Primary practice location

807 Wilson Ave
Daphne, AL 36526-4221

Mailing address

807 Wilson Ave
Daphne, AL 36526-4221
Phone (251) 626-9898

Other names 1

  • Dr. Michael Lane Burleson Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000048 AL Practitioner - Chiropractic 9830231984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burleson Chiropractic, P.C.Group PAC ID 8123046794, 3 clinicians

Practice addresses (Care Compare)

23800 US Hwy 98
BLDG A2
Fairhope, AL 36532-6388
Phone (251) 928-9398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1712ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Burleson Chiropractic, P.C. Chiropractor CurrentSince Sep 29, 1999 Accepting new patients

Locations

807 Wilson Ave
Daphne, AL 36526
Phone (251) 626-9898

23800 US Highway 98
Bldg A2
Fairhope, AL 36532
Phone (251) 626-9898

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1023173085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WILSON AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264221",
            "telephone_number": "251-626-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 WILSON AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264221",
            "telephone_number": "251-626-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "MICHAEL",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "BURLESON",
            "middle_name": "LANE",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.