Organization Active NPI

Robert J. Burkett, M.D., P.a.

  • Specialist
  • Fort Worth, TX
National Provider Identifier
1598937443
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0072 Issued in TX
Legal business name
ROBERT J. BURKETT, M.D., P.A.
Practice address
800 8TH Ave
Suite 618
Fort Worth, TX 76104-2601
Phone
(817) 335-6336
Fax
(817) 335-8141
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Robert Judson Burkett, M.D.
Title
President
Phone
(817) 335-6336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0072 TX Primary

Addresses

Primary practice location

800 8TH Ave
Suite 618
Fort Worth, TX 76104-2601

Mailing address

800 8TH Ave
Suite 618
Fort Worth, TX 76104-2601
Phone (817) 335-6336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1598937443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 618",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-335-6336",
            "fax_number": "817-335-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 618",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-335-6336",
            "fax_number": "817-335-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. BURKETT, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JUDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-335-6336",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D0072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.