Individual provider Active NPI

J. Brian Burch, PAC

  • Physician Assistant
  • Amarillo, TX
National Provider Identifier
1265546485
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA028222 Issued in TX
Practice address
1619 S Kentucky St Ste F600
Amarillo, TX 79102-2215
Phone
(806) 373-2200
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA028222TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Emergency Physicians PLLC Past Accepting new patients
Abk Emergency Physicians PLLC Physician Assistant Past Accepting new patients
Emcare-Dtxemergency Physicians PLLC Physician Assistant Past Accepting new patients
Dallas Emergency Physicians PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: j.burch.1@28543.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA028222 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1619 S Kentucky St Ste F600
Amarillo, TX 79102-2215

Mailing address

4811 Bacle Rd
Longview, TX 75604-9390
Phone (903) 699-0088

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
216652201MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2026.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1265546485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 BACLE RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756049390",
            "telephone_number": "903-699-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 S KENTUCKY ST STE F600",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791022215",
            "telephone_number": "806-373-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "J.",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA028222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216652201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.