Organization Active NPI

Burks & Johnson Management

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1265896963
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BURKS & JOHNSON MANAGEMENT
Practice address
6138 Walraven Cir
Ste a & B
Fort Worth, TX 76133-2769
Phone
(682) 518-9300
Fax
(817) 473-9272
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Mrs. Connie F Burks
Title
Co Owner
Phone
(682) 518-9300

Specialties & licenses 1

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

Addresses

Primary practice location

6138 Walraven Cir
Ste a & B
Fort Worth, TX 76133-2769

Mailing address

2771 E Broad St
Ste 217
Mansfield, TX 76063-9156
Phone (682) 518-9300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1265896963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 E BROAD ST",
            "address_2": "STE 217",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639156",
            "telephone_number": "682-518-9300",
            "fax_number": "817-473-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6138 WALRAVEN CIR",
            "address_2": "STE A & B",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761332769",
            "telephone_number": "682-518-9300",
            "fax_number": "817-473-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKS & JOHNSON MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "682-518-9300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.