Organization Active NPI

Chris Burling, M.D., P.a.

Doing business as Mt. Pleasant Family Practice

  • Family Medicine Physician
  • Mount Pleasant, TX
National Provider Identifier
1417990144
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
Legal business name
CHRIS BURLING, M.D., P.A.
Doing business as
Mt. Pleasant Family Practice
Practice address
618 N Jefferson Ave
Suite 1
Mt Pleasant, TX 75455-3647
Phone
(903) 575-9500
Fax
(903) 575-9866
NPI assigned
Jun 13, 2006
Last updated
Jan 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Authorized official

Name
Dr. Christopher Michael Burling, M.D.NPI 1295732832
Title
Owner
Phone
(903) 575-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X K7676 TX Primary

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • Mt. Pleasant Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060926000313 TX Part B Supplier - Clinic/Group Practice 7214932219 Receives reassigned benefits from 5 practitioners
Practice locations: Mt Pleasant, TX

National Provider Directory

National Provider Directory

Locations

1801 W Loop 281
Longview, TX 75604
Phone (903) 218-2888

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

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

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1417990144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N JEFFERSON AVE",
            "address_2": "SUITE 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": "SUITE 1",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754553647",
            "telephone_number": "903-575-9500",
            "fax_number": "903-575-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS BURLING, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "BURLING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-575-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Pleasant Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.