NPIMap

Organization Active NPI

Randall Burt MD PA

  • Specialist
  • Plano, TX
National Provider Identifier
1336279116
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L3933 Issued in TX
Legal business name
RANDALL BURT MD PA
Practice address
6124 W Parker Rd
Ste 134
Plano, TX 75093-8122
Phone
(972) 981-7777
Fax
(972) 981-7750
NPI assigned
Mar 7, 2007
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Randall J Burt, M.D.NPI 1518965219
Title
President
Phone
(972) 981-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L3933 TX Primary

Addresses

Primary practice location

6124 W Parker Rd
Ste 134
Plano, TX 75093-8122

Mailing address

6124 W Parker Rd
Ste 134
Plano, TX 75093-8122
Phone (972) 981-7777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 234

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.

View all 234

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1336279116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "STE 134",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122",
            "telephone_number": "972-981-7777",
            "fax_number": "972-981-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD",
            "address_2": "STE 134",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938122",
            "telephone_number": "972-981-7777",
            "fax_number": "972-981-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL BURT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-981-7777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L3933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.