Individual provider Active NPI

Russell D Burlison, MD

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
National Provider Identifier
1073517975
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
023583 Issued in LA
Practice address
1449 E Bert Koun Loop Ste 101
Shreveport, LA 71105-5663
Phone
(318) 681-4282
Fax
(318) 681-4168
NPI assigned
Jun 8, 2005
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 023583 LA Primary

Addresses

Primary practice location

1449 E Bert Koun Loop Ste 101
Shreveport, LA 71105-5663

Mailing address

1449 E Bert Kouns Industrial Loop Ste 101
Shreveport, LA 71105-5663
Phone (318) 681-4282

Other practice location 1

1455 E Bert Koun Loop
Shreveport, LA 71105-5634
Phone (318) 798-4400

Other practice location 2

1455 E Bert Koun Loop Ste 100
Shreveport, LA 71105-5634
Phone (318) 681-4606

Other practice location 3

1400 E Bert Koun Loop Ste 100
Shreveport, LA 71105-5647
Phone (318) 681-4606

Other identifiers 1

IdentifierTypeStateIssuer
1486540MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address russell.burlison.p1@direct.hcapmc.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080205000222 LA Practitioner - Obstetrics/Gynecology 5193807766 Reassigns benefits to 7 organizations
I20200721001289 TX Practitioner - Obstetrics/Gynecology 5193807766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Clinic, a Prof Med CorpGroup PAC ID 3870493463, 60 clinicians

Practice addresses (Care Compare)

1455 E Bert Koun Loop
Shreveport, LA 71105-5634
Phone (318) 798-4539

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023583LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Clinic, a Prof Med Corp CurrentSince Jun 8, 2017 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Apr 17, 2020 Accepting new patients
Women First, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Christus Trinity Clinic Texas Obstetrics & Gynecology CurrentSince Feb 17, 2025 Accepting new patients
Stephen Padgett MD LLC Obstetrics & Gynecology CurrentSince Jan 12, 2021 Accepting new patients
Minden Physician Practices LLC Current Accepting new patients
Obhg Louisiana, LLC Obstetrics & Gynecology CurrentSince Dec 5, 2018 Accepting new patients
Minden Physician Practices LLC CurrentSince Aug 7, 2019 Accepting new patients
Highland Clinic, a Prof Med Corp CurrentSince Jun 8, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 17, 2025 Accepting new patients
Minden Physician Practices LLC Obstetrics & Gynecology CurrentSince Aug 7, 2019 Accepting new patients
Lifestyle Medicine ,LLC PastSince Feb 7, 2021 Accepting new patients
Christus Health Northern Louisiana Past Accepting new patients
WK Womens Health Associates Obstetrics & Gynecology PastSince Oct 1, 2006 Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1211 Coolidge Blvd
Ste 405
Lafayette, LA 70503
Phone (337) 233-7524

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

427 Homer Rd
Minden, LA 71055
Phone (318) 377-8855

431 Homer Rd
Minden, LA 71055
Phone (318) 377-8855

2309 Old Jeanerette Rd
New Iberia, LA 70563
Phone (337) 256-5317

1400 E Bert Kouns Industrial Loop
#L
Shreveport, LA 71105

1400 E Bert Kouns Industrial Loop
Ste 100
Shreveport, LA 71105
Phone (318) 681-4319

1449 E Bert Kouns Industrial Loop
Ste 101
Shreveport, LA 71105
Phone (318) 681-4282

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

1455 E Bert Kouns Ind Loop
Ste 308
Shreveport, LA 71105

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

1455 E Bert Kouns Industrial Loop
#306
Shreveport, LA 71105

1455 E Bert Kouns Industrial Loop
#L
Shreveport, LA 71105

1455 E Bert Kouns Industrial Loop
Ste 100
Shreveport, LA 71105
Phone (318) 681-4606

1455 E Bert Kouns Industrial Loop
Ste 306
Shreveport, LA 71105

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000

7925 Youree Dr
Ste 220
Shreveport, LA 71105
Phone (318) 424-3400

7941 Youree Dr
Shreveport, LA 71105
Phone (318) 797-7941

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 576-8798

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: minrburli@yourcarecommunity.org
  • Direct secure messaging: russell.burlison.1@3681.direct.athenahealth.com
  • Direct secure messaging: russell.burlison.p1@direct.hcapmc.nextgenshare.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1073517975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 E BERT KOUNS INDUSTRIAL LOOP STE 101",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055663",
            "telephone_number": "318-681-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 E BERT KOUN LOOP STE 101",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055663",
            "telephone_number": "318-681-4282",
            "fax_number": "318-681-4168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 E Bert Koun Loop",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055634",
            "country_code": "US",
            "telephone_number": "318-798-4400",
            "fax_number": "318-798-4525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 E Bert Koun Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055634",
            "country_code": "US",
            "telephone_number": "318-681-4606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Bert Koun Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055647",
            "country_code": "US",
            "telephone_number": "318-681-4606",
            "fax_number": "318-681-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURLISON",
        "first_name": "RUSSELL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "023583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1486540",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "russell.burlison.p1@direct.hcapmc.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1455 E Bert Kouns Loop",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711055634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.