Active NPI
Anna C Burson, Inc
- Obstetrics Physician
- Ardmore, OK
National Provider Identifier
1164530929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 21475
- Legal business name
- ANNA C BURSON, INC
- Practice address
- 720 Grand Ave
Ardmore, OK 73401-4343 - Phone
- (580) 226-9994
- Fax
- (580) 226-9998
- NPI assigned
- Aug 29, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Anna B Burson, MD
- Title
- Owner
- Phone
- (580) 226-9994
National Provider Directory
National Provider DirectoryLocations
720 Grand Ave
Ardmore, OK 73401
Phone (580) 226-9994
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21475 | OK | |
| Obstetrics Physician | 207VX0000X | 21475 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
720 Grand Ave
Ardmore, OK 73401-4343
Mailing address
720 Grand Ave
Ardmore, OK 73401-4343
Phone (580) 226-9994
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| OK21475 | Other | OK | OK LICENSE # |
| 1437109394 | Other | OK | INDIVIDUAL NPI # |
Other names 1
NPPES NPI Registry- CORNERSTONE FAMILY HEALTH CARE
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1164530929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 GRAND AVE",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734014343",
"telephone_number": "580-226-9994",
"fax_number": "580-226-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 GRAND AVE",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734014343",
"telephone_number": "580-226-9994",
"fax_number": "580-226-9998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNA C BURSON, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-29",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BURSON",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-226-9994",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OK",
"license": "21475",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "OK",
"license": "21475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK LICENSE #",
"identifier": "OK21475",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI #",
"identifier": "1437109394",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CORNERSTONE FAMILY HEALTH CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.