Richard Lee Burnett, M.D. – Family Medicine Physician

Key facts

NPI: 1609832732
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: C-4879 (AR)
Practice address: 405 Buttercup Dr
Mountain Home, AR 72653-2910
Phone: (870) 425-3030
Fax: (870) 508-8136
NPI assigned: Apr 26, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Ozarks Medical Center General Acute Care Hospital · West Plains, MO · NPI 1831115641

NPD (past) FAMILY MEDICINE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
C-4879	AR	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Ozarks Medical Center	Family Medicine	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	C-4879	AR	Yes

Addresses

Primary practice location

405 Buttercup Dr
Mountain Home, AR 72653-2910

Mailing address

405 Buttercup Dr
Mountain Home, AR 72653-2910
Phone (870) 425-3030

Other identifiers

Identifier	Type	State	Issuer
101020001	Medicaid	AR

Other providers in Mountain Home, AR

All providers in Mountain Home, AR · Family Medicine Physician in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.