Lone Star Progressive Medicine of Burleson PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LONE STAR PROGRESSIVE MEDICINE OF BURLESON PA

Practice address

1320 NW John Jones Dr
Burleson, TX 76028-8040

Phone

(817) 297-7100

Fax

(817) 297-7193

NPI assigned

Sep 27, 2017

Organization subpart

No

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

Authorized official

Name

Michael Brandon Pettke, DCNPI 1730107889

Title

Owner/Authorized Official

Phone

(817) 297-7100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Brandon Pettke, DC

  • Chiropractor
  • Burleson, TX
  • NPI 1730107889
  Medicare reassignment NPD Authorized official
• Leamy Seabert, FNP-C

  • Family Nurse Practitioner
  • Burleson, TX
  • NPI 1033505359
  Medicare reassignment NPD
• Melissa D Holland, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Dallas, TX
  • NPI 1215340831
  NPD
• Nick G. Albracht, D.C.

  • Chiropractor
  • Burleson, TX
  • NPI 1003839929
  NPD (past)
• Keith Allen Raber, DC

  • Chiropractor
  • Burleson, TX
  • NPI 1649423203
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437668951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 NW JOHN JONES DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288040",
            "telephone_number": "817-297-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NW JOHN JONES DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288040",
            "telephone_number": "817-297-7100",
            "fax_number": "817-297-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE STAR PROGRESSIVE MEDICINE OF BURLESON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "PETTKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-297-7100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore J Lilly, M.D.
• Jeffrey C Lin, M.D.
• Ridge Logan
• Brittney London
• Lone Star Orthopaedic and Spine Specialists, PLLC
• Lone Star Radiology Services PLLC
• Lonestar Speech Therapy, PLLC
• Lookup Properties Inc.
• Stacey Lopez, PA-C
• Ashley Lott, LPC

• General Practice Physician in Burleson, TX
• Providers in Burleson, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.