Justin Burnett, MD
Individual provider Active NPI Family Medicine Physician · Seminole, OK
NPI 1144845496 · NPPES record last updated Aug 21, 2025
Key facts
- NPI
- 1144845496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 36055 (OK)
- Practice address
- 2403 W Wrangler Blvd Ste a
Seminole, OK 74868-1900 - Phone
- (580) 436-5111
- Fax
- (580) 436-1159
- NPI assigned
- Jun 12, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Oklahoma Family Medical Center Inc
Practice addresses (Care Compare)
2403 W Wrangler Blvd
Suite a
Seminole, OK 74868-1900
Phone (580) 436-5111
Hospital & facility affiliations
- SSM Health St Anthony Hospital - Shawnee
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230927002564 | OK | Practitioner - Family Practice | 2365896131 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Oklahoma Family Medical Center, Inc. | Current |
Accepting new patients | |
| Central Oklahoma Family Medical Center Inc | Current |
Accepting new patients | |
| St Anthony Shawnee Hospital Inc | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
1221 Arlington St
Ste B
Ada, OK 74820
Phone (580) 332-4700
807 N Monte Vista St
Ada, OK 74820
Phone (580) 279-6413
527 W 3rd St
Konawa, OK 74849
Phone (580) 925-3286
2403 W Wrangler Blvd
Ste A
Seminole, OK 74868
Phone (405) 382-4939
2403 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 382-4939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36055 | OK | Yes |
Addresses
Primary practice location
2403 W Wrangler Blvd Ste a
Seminole, OK 74868-1900
Mailing address
900 NE 10TH St # 2102
Oklahoma City, OK 73104-5420
Phone (405) 271-2230
Other practice location 1
900 NE 10th St # 2102
Oklahoma City, OK 73104-5420
Phone (405) 271-2230
Other providers in Seminole, OK
- Tony Gomes Borba Jr.
- Branish Dashawn Bowen
- Shelby Bowen
- Afton Brauning
- Misty Nevora Brewer
- Amber Burris
- Tricia Lee Butner
- Madison Kaye Byerly
- Jan M Cadenhead
- Marah Gail Canfield
All providers in Seminole, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.