James Garland Burgess, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C4094 Issued in AR

Practice address

307 Nordin LN
Russellville, AR 72802-9006

Phone

(479) 970-5709

NPI assigned

Dec 29, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1396100780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 NORDIN LN",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029006",
            "telephone_number": "479-970-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 NORDIN LN",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029006",
            "telephone_number": "479-970-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "JAMES",
        "middle_name": "GARLAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C4094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darci Bryan, CASE MANAGER PARAPRO
• Karen S Buchanan, NP
• Mark Edward Buchanan, M.D.
• Building Bridges Therapy Center
• Kara Burge
• Ashley L Burnham, MD
• Rosemary Burns
• Cameron Burroughs, PT, DPT
• Shyann Alexus Bush
• Benjamin Butler, CMP

• Specialist in Russellville, AR
• Providers in Russellville, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.