NPIMap

Organization Active NPI

William E Burns Jr M D, PLLC

  • Family Medicine Physician
  • Lake Jackson, TX
National Provider Identifier
1225466253
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILLIAM E BURNS JR M D, PLLC
Practice address
208 Oak Dr S Ste 502
Lake Jackson, TX 77566-5789
Phone
(979) 297-4507
Fax
(979) 480-9074
NPI assigned
Oct 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Peggy L Christ
Title
Office Manager
Phone
(979) 297-4507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X E6265 TX
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

208 Oak Dr S Ste 502
Lake Jackson, TX 77566-5789

Mailing address

208 Oak Dr S Ste 502
Lake Jackson, TX 77566-5789
Phone (979) 297-4507

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PORTAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220805000368 TX Part B Supplier - Clinic/Group Practice 7719369859 Receives reassigned benefits from 5 practitioners
Practice locations: Lake Jackson, TX

National Provider Directory

National Provider Directory

Locations

208 Oak Dr S
Ste 205
Lake Jackson, TX 77566

201 Oak Dr S
Ste 101
Lake Jackson, TX 77566
Phone (979) 297-3098

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1225466253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 OAK DR S STE 502",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665789",
            "telephone_number": "979-297-4507",
            "fax_number": "979-480-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OAK DR S STE 502",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665789",
            "telephone_number": "979-297-4507",
            "fax_number": "979-480-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E BURNS JR M D, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "CHRIST",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-297-4507"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6265",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PORTAL",
            "affiliation": "N",
            "address_1": "201 Oak Dr S Ste 203",
            "city": "Lake Jackson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775665627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.