Individual provider Active NPI

Christopher Michael Burling, MD

  • Family Medicine Physician
  • Mt Pleasant, TX
National Provider Identifier
1295732832
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7676 Issued in TX
Practice address
618 N Jefferson Ave
Ste 1
Mt Pleasant, TX 75455-3647
Phone
(903) 575-9500
Fax
(903) 575-9866
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chris Burling MD PA 2 clinicians

Practice addresses (Care Compare)

618 N Jefferson Ave
Mt Pleasant, TX 75455-3647

Hospital & facility affiliations

  • Chambers Home Health Agency of Northeast Texas Com Home health agency, Mount Pleasant, TX, CCN 679171
  • Titus Regional Medical Center Hospital, Mount Pleasant, TX, CCN 450080

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20031201000504 TX Practitioner - Family Practice 6204731557 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chris Burling, M.D., P.a. Family Medicine CurrentSince Jun 13, 2006 Accepting new patients
Late Bloomers, LLC Family Medicine Past Accepting new patients

Locations

618 N Jefferson Ave
Ste 1
Mt Pleasant, TX 75455
Phone (903) 575-9500

618 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 575-9500

Interoperability endpoints

  • Direct secure messaging: admin@mt-pleasant-fp.e-mdsdirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K7676 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

618 N Jefferson Ave
Ste 1
Mt Pleasant, TX 75455-3647

Mailing address

618 N Jefferson Ave
Ste 1
Mt Pleasant, TX 75455-3647
Phone (903) 575-9500

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
45D1016874OtherTXCILIA
044025705MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2010.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1295732832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N JEFFERSON AVE",
            "address_2": "STE 1",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754553647",
            "telephone_number": "903-575-9500",
            "fax_number": "903-575-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N JEFFERSON AVE",
            "address_2": "STE 1",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754553647",
            "telephone_number": "903-575-9500",
            "fax_number": "903-575-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLING",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CILIA",
            "identifier": "45D1016874",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044025705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, TX

Sources for this page

Verify at the official NPI Registry.