Active NPI
Burgest Clinic PA
- Pain Medicine (Anesthesiology) Physician
- Harker Heights, TX
National Provider Identifier
1073605465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- L9637
- Legal business name
- BURGEST CLINIC PA
- Practice address
- 840 Prospector TRL
Harker Heights, TX 76548-2700 - Phone
- (254) 213-4322
- Fax
- (254) 213-4337
- NPI assigned
- Sep 29, 2006
- Last updated
- Apr 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sean Gregory Burgest, MD
- Title
- Owner/Physician
- Phone
- (512) 970-4941
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | L9637 | TX | Primary |
| Hospice and Palliative Medicine (Anesthesiology) Physician | 207LH0002X | L9637 | TX |
Addresses
Primary practice location
840 Prospector TRL
Harker Heights, TX 76548-2700
Mailing address
PO Box 268866
Oklahoma City, OK 73126-8866
Phone (254) 213-4322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2009250-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
5411 Williams Dr
Ste 102
Georgetown, TX 78633
Phone (512) 868-4352
840 Prospector Trl
Killeen, TX 76548
Phone (254) 833-3700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459468800000",
"number": "1073605465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268866",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268866",
"telephone_number": "254-213-4322",
"fax_number": "254-213-4337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 PROSPECTOR TRL",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765482700",
"telephone_number": "254-213-4322",
"fax_number": "254-213-4337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURGEST CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2016-04-01",
"status": "A",
"authorized_official_last_name": "BURGEST",
"authorized_official_first_name": "SEAN",
"authorized_official_middle_name": "GREGORY",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "512-970-4941",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "L9637",
"primary": true
},
{
"code": "207LH0002X",
"taxonomy_group": "",
"desc": "Anesthesiology, Hospice and Palliative Medicine",
"state": "TX",
"license": "L9637",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2009250-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.