NPIMap

Individual provider Active NPI

Christian James Wayne Burrell

  • Neurology Physician
  • Jacksonville, FL
National Provider Identifier
1033476817
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME117858 Issued in FL
Practice address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone
(904) 953-2000
NPI assigned
Apr 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A164257 CA
Vascular Neurology Physician 2084V0102X A164257 CA
Neurology Physician 2084N0400X ME117858 FL Primary

Addresses

Primary practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Mailing address

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Other practice location 1

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, PA, OR, NE, OH, CA6 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20170726000587 CO Practitioner - Neurology 9133366636 Reassigns benefits to 2 organizations
I20200218000330 PA Practitioner - Neurology 9133366636 Reassigns benefits to 1 organization
I20200416000585 OR Practitioner - Neurology 9133366636 Reassigns benefits to 2 organizations
I20230201002999 NE Practitioner - Neurology 9133366636 Reassigns benefits to 1 organization
I20250213003098 OH Practitioner - Neurology 9133366636 Reassigns benefits to 1 organization
I20260618001411 CA Practitioner - Neurology 9133366636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Oklahoma College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians
Carepoint Inpatient Blue Sky Neurology PLLCGroup PAC ID 9436456118, 39 clinicians
Blue Sky Telehealth LLCGroup PAC ID 5395155964, 71 clinicians

Practice addresses (Care Compare)

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-7000

501 E Hampden Ave
Swedish Rehab
Englewood, CO 80113-2702
Phone (303) 788-6911

858 Swandyke Dr
Castle Pines, CO 80108-9079
Phone (385) 286-4862

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME117858FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Nov 11, 2024 Accepting new patients
Mount Carmel Health System CurrentSince Oct 24, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Mount Carmel Health System CurrentSince Oct 24, 2024 Accepting new patients
Asante Physician Partners CurrentSince Mar 1, 2020 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Nov 11, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 8, 2020 Accepting new patients
North Platte Nebraska Hospital Corporation Neurology CurrentSince Oct 29, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Jan 8, 2020 Accepting new patients

Locations

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

500 NE Multnomah St
Fl 11
Portland, OR 97232

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

228 Saint Charles Way
York, PA 17402
Phone (717) 812-2212

Interoperability endpoints

  • Direct secure messaging: cburrell60083@direct.emory.org

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1033476817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-953-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-953-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 E Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203309",
            "country_code": "US",
            "telephone_number": "559-450-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "CHRISTIAN",
        "middle_name": "JAMES WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A164257",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "CA",
            "license": "A164257",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME117858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.