Charles Russell Burton, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C-6384 Issued in AR

Practice address

819 W Carpenter St
Benton, AR 72015-3349

Phone

(501) 778-8264

Fax

(501) 778-7360

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Arkansas Health Group

  • Family Medicine Physician
  • North Little Rock, AR
  • NPI 1588762389
  NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1528027828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W CARPENTER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153349",
            "telephone_number": "501-778-8264",
            "fax_number": "501-778-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W CARPENTER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153349",
            "telephone_number": "501-778-8264",
            "fax_number": "501-778-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "CHARLES",
        "middle_name": "RUSSELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-6384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105298001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5473014",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "11140000",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alison Burnett, RECOVERY ASSISTANT
• Wendy Leigh Burnett, OTRL
• Heath Burns, RECOVERY ASSISTANT
• Linda Burns, CMP
• Candice Burton, QBHP
• Barry Butler, CMP
• Chris Butler, RECOVERY ASSISTANT
• Jacqueline Butler, PROGRAM ASSISTANT
• Ryhan Butler, RECOVERY ASSISTANT
• Jessica Butner

• Family Medicine Physician in Benton, AR
• Providers in Benton, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.