Organization Active NPI

Burgest Clinic PA

  • Pain Medicine (Anesthesiology) Physician
  • Harker Heights, TX
National Provider Identifier
1073605465
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
L9637 Issued in TX
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2009250-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.