Jason Ray Burrell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD2022-0836 Issued in NM

Practice address

530 Parkmont CT
San Antonio, TX 78258-4889

Phone

(210) 573-7515

NPI assigned

May 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.burrell.p1@direct.bchc.nextgenshare.com

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.

• Brownsville Community Health Clinic Corporation

  • Federally Qualified Health Center (FQHC)
  • Brownsville, TX
  • NPI 1740266444

  Single Specialty

  Medicare reassignment NPD
• Brownsville Community Health Clinic Corporation

  • Federally Qualified Health Center (FQHC)
  • Laguna Vista, TX
  • NPI 1891525127
  NPD
• Ascension Medical Group-Southeast Wisconsin Inc

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077

  Single Specialty

  NPD
• The Medical College of Wisconsin, Inc.

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1699720086

  Single Specialty

  NPD
• Community Radiology Associates P a

  • Diagnostic Radiology Physician
  • Austin, TX
  • NPI 1174573273

  Single Specialty

  NPD (past)
• Little Spurs Pediatric Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1780673319

  Single Specialty

  NPD (past)
• After Hours Pediatrics PC

  • Pediatrics Physician
  • Albuquerque, NM
  • NPI 1588730360

  Single Specialty

  NPD (past)
• Dubois Regional Medical Center

  • General Acute Care Hospital
  • Du Bois, PA
  • NPI 1144249657
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1659538197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 PARKMONT CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584889",
            "telephone_number": "210-573-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PARKMONT CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584889",
            "telephone_number": "210-573-7515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5904 Holly Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871132472",
            "country_code": "US",
            "telephone_number": "505-298-2505",
            "fax_number": "505-298-2985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "JASON",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N6201",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD465526",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "55939",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2022-0836",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "67978",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "N6201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659538197",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis C. Burns, M.D.
• John Charles Burnside, M.D.
• Naomi Lynnea Burr, MD, MPH
• Cynthia Burrage, RN
• Candace C Burrell-Miramontes, RN, FNP-C
• Brenna Grace Burris-Thomas, MD
• Ashton Burris
• Jerry Burris, FNP
• Roxanne Burris
• Savannah Cristina Burris

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.