James Travis Burt, M.D., F.A.C.S.
Individual provider Active NPI Neurological Surgery Physician · Bristol, TN
NPI 1619983962 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1619983962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- License
- 0000026843 (TN)
- Practice address
- 1 Medical Park Blvd Ste 400E
Bristol, TN 37620-7431 - Phone
- (423) 844-5400
- Fax
- (423) 844-5434
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Neurosurgery
- Education
- University of Mississippi School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell Clinic, PC
Champion Physical Therapy LLC Halls
Practice addresses (Care Compare)
1 Medical Park Blvd
Suite 400E
Bristol, TN 37620-7431
Phone (423) 844-5400
420 Railroad St
Elizabethton, TN 37643-2504
Phone (423) 297-1813
Hospital & facility affiliations
- Wellmont Bristol Regional Medical Center
- Smyth County Community Hospital
- Johnston Memorial Hospital
- Clinch Valley Medical Center
- Russell County Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.83 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 72.77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 79 |
| Laminectomy or laminotomy (partial removal of spine bones) | 40 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101005000488 | TN | Practitioner - Neurosurgery | 4587872619 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000026843 | TN | MD | Neurological Surgery Physician |
| 0101056734 | VA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic, PC | Neurological Surgery | Current |
Accepting new patients |
| Campbell Clinic PC | Current |
Accepting new patients | |
| Campbell Clinic | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 400E
Bristol, TN 37620
Phone (423) 844-5400
1 Medical Park Blvd
Ste 250W
Bristol, TN 37620
Phone (423) 844-6407
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
Interoperability endpoints
- james.burt.1@1366.direct.athenahealth.com
- https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0101056734 | VA | |
| Neurological Surgery Physician | 207T00000X | 0000026843 | TN | Yes |
Addresses
Primary practice location
1 Medical Park Blvd Ste 400E
Bristol, TN 37620-7431
Mailing address
1 Medical Park Blvd Ste 400E
Bristol, TN 37620-7431
Phone (423) 844-5400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3092743 | Medicaid | TN | |
| 9801401000 | Medicaid | WV | |
| 6101241 | Medicaid | VA |
NPI Registry JSON
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1619983962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD STE 400E",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207431",
"telephone_number": "423-844-5400",
"fax_number": "423-844-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD STE 400E",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207431",
"telephone_number": "423-844-5400",
"fax_number": "423-844-5434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "JAMES",
"middle_name": "TRAVIS",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101056734",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TN",
"license": "0000026843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3092743",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9801401000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6101241",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, TN
- Bonnie Burke
- Stephen Burke
- Aaron Steven Burnette
- Lindsey Burrell
- Jonathan W Burress
- Robin Malinda Butler
- Jack Evans Butterworth Jr.
- John Gordon Byers Jr.
- Catherine Caldwell
- Kathleen Mary Callahan
All providers in Bristol, TN · Neurological Surgery Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.