Active NPI
James Bracken Burns Jr., DO
- Trauma Surgery Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 2911
- Practice address
- Dogwood Ave, BLDG #1
Room 2-42
Johnson City, TN 37614 - Phone
- (423) 439-6263
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34-008439 | OH | |
| Surgery Physician | 208600000X | 2911 | TN | |
| Trauma Surgery Physician | 2086S0127X | 35-008439 | OH | |
| Trauma Surgery Physician | 2086S0127X | OS10105 | FL | |
| Trauma Surgery Physician | 2086S0127X | 2911 | TN | Primary |
Addresses
Primary practice location
Dogwood Ave, BLDG #1
Room 2-42
Johnson City, TN 37614
Mailing address
Dogwood Ave, BLDG #1
Room 2-42
Johnson City, TN 37614
Phone (423) 439-6263
Other practice location 1
410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6972
Phone (423) 431-2477
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2784823-00 | Medicaid | FL | |
| 2650448 | Medicaid | OH | |
| 1508821067 | Medicaid | VA | |
| 428749571A | Medicaid | GA | |
| Q016851 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1497 W Elk Ave
Elizabethton, TN 37643-2896
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-4847
408 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-4946
Hospital & facility affiliations
- Johnson City Medical Center
- Wellmont Holston Valley Medical Center
- Franklin Woods Community Hospital
- Sycamore Shoals Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2911 | TN | MD | Optometrist |
| 34-008439 | OH | MD | Surgery Physician |
| 35-008439 | OH | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Surgery | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Surgery | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Mountain States Health Alliance | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
653 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3902
3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867
410 N State of Franklin Rd
Ste 130
Johnson City, TN 37604
Phone (423) 431-2460
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Trauma Surgery Physician
- Johnson City, TN
- NPI 1093016024
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
Surgery
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
- General Acute Care Hospital
- Elizabethton, TN
- NPI 1891801734
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508821067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DOGWOOD AVE, BLDG #1",
"address_2": "ROOM 2-42",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37614",
"telephone_number": "423-439-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DOGWOOD AVE, BLDG #1",
"address_2": "ROOM 2-42",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37614",
"telephone_number": "423-439-6263"
}
],
"practiceLocations": [
{
"address_1": "410 N State Of Franklin Rd Ste 130",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046972",
"country_code": "US",
"telephone_number": "423-431-2477",
"fax_number": "423-431-2478",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNS",
"first_name": "JAMES",
"middle_name": "BRACKEN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "34-008439",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "2911",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "OH",
"license": "35-008439",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "OS10105",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TN",
"license": "2911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2784823-00",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2650448",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508821067",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428749571A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q016851",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- 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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.