Burnett Hanson MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

18348 Issued in MS

Legal business name

BURNETT HANSON MD PLLC

Practice address

1501 Aston Ave
McComb, MS 39648-2734

Phone

(770) 429-1411

Fax

(770) 429-1951

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Burnett Hanson, M.D.NPI 1730292798

Title

President

Phone

(770) 429-1411

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

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

• Burnett Hanson, MD

  • Radiation Oncology Physician
  • McComb, MS
  • NPI 1730292798
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1609074889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P BOX 95305",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760999734",
            "telephone_number": "770-429-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ASTON AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482734",
            "telephone_number": "770-429-1411",
            "fax_number": "770-429-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNETT HANSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "BURNETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-429-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "18348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB0903",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Brumfield
• Tomieka Brumfield
• Lovel A. L Bruney, CRNA
• Dinah Bryant
• Tabitha Burks, PCMHT
• Burrow Pathology Laboratories PA
• Burrow Pathology Laboratories PA
• Rex L Burrow Jr., MD
• Sharon Butts
• Jamie Calaway

• Specialist in McComb, MS
• Providers in McComb, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.