Individual provider Active NPI

Rebecca Lynn Burson, MD

  • Family Medicine Physician
  • Snyder, TX
National Provider Identifier
1114243607
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q0420 Issued in TX
Practice address
1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone
(325) 573-1300
Fax
(325) 574-6944
NPI assigned
Apr 9, 2010
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q0420 TX Primary
Obstetrics Physician 207VX0000X Q0420 TX

Addresses

Primary practice location

1700 Cogdell Blvd
Snyder, TX 79549-6162

Mailing address

1700 Cogdell Blvd
Snyder, TX 79549-6162
Phone (325) 574-7437

Other identifiers 2

IdentifierTypeStateIssuer
8EL722OtherTXBCBS
339363901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20130828000796 TN Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 5799928412 Reassigns benefits to 2 organizations
I20140911001961 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 5799928412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Texas a & M University System, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolling Plains Memorial HospitalGroup PAC ID 4688575228, 19 clinicians

Practice addresses (Care Compare)

201 E Arizona Ave
Sweetwater, TX 79556-7119
Phone (325) 219-6237

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q0420TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scurry County Hospital District CurrentSince Sep 1, 2016 Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Jan 17, 2024 Accepting new patients
The Camellia Foundation Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Scurry County Hospital District CurrentSince Sep 1, 2016 Accepting new patients
Medicos General PLLC Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
Rolling Plains Memorial Hospital CurrentSince Jan 17, 2024 Accepting new patients

Locations

3030 Covington Pike
#200
Memphis, TN 38128
Phone (901) 432-5727

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

3030 Covington Pike
Ste 200
Memphis, TN 38128
Phone (901) 266-8760

3040 Covington Pike
#100
Memphis, TN 38128
Phone (901) 729-7801

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374

201 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/rolling-5861da2b

Organizations & group practices 6

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.

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": "1270771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1114243607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 COGDELL BLVD",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496162",
            "telephone_number": "325-574-7437",
            "fax_number": "325-574-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 COGDELL BLVD",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795496162",
            "telephone_number": "325-573-1300",
            "fax_number": "325-574-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURSON",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-09",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0420",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "Q0420",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8EL722",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339363901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, TX

Sources for this page

Verify at the official NPI Registry.