Individual provider Active NPI

Burton Dennard Dunlap, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Austin, TX
National Provider Identifier
1174056907
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
U5390 Issued in TX
Practice address
12309 N Mopac Expy Ste 150
Austin, TX 78758-2647
Phone
(512) 477-6341
NPI assigned
Apr 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 036159742 IL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 01087841A IN
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X U5390 TX Primary

Addresses

Primary practice location

12309 N Mopac Expy Ste 150
Austin, TX 78758-2647

Mailing address

12309 N Mopac Expy Ste 150
Austin, TX 78758-2647
Phone (512) 477-6341

Other practice location 1

1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Phone (877) 632-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230908002081 TX Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 1153699285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Medical College of Georgia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

12309 N Mopac Expy
150 Ascension Medical Group Seton Orthopedi
Austin, TX 78758-2647
Phone (512) 246-4488

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)26
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Aug 1, 2023 Accepting new patients
Seton Family of Doctors CurrentSince Aug 1, 2023 Accepting new patients

Locations

12309 N Mopac Expy
Ste 150
Austin, TX 78758
Phone (512) 324-9170

3707 S 2nd St
Ste 100
Austin, TX 78704
Phone (512) 324-9170

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

16020 Park Valley Dr
Round Rock, TX 78681
Phone (512) 244-0766

Interoperability endpoints

  • Direct secure messaging: burton.dunlap.1@8363.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1174056907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 N MOPAC EXPY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582647",
            "telephone_number": "512-477-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12309 N MOPAC EXPY STE 150",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582647",
            "telephone_number": "512-477-6341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 W Harrison St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124861",
            "country_code": "US",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "BURTON",
        "middle_name": "DENNARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-08",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "036159742",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "01087841A",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "U5390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.