Active NPI
Charles Reed Burk, DO
- Obstetrics & Gynecology Physician
- Hermitage, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 3743
- Practice address
- 5655 Frist Blvd
Hermitage, TN 37076-2053 - Phone
- (615) 316-3000
- NPI assigned
- Aug 22, 2006
- Last updated
- Nov 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | E-11084 | AR | |
| Obstetrics & Gynecology Physician | 207V00000X | K9236 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | OS16017 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 3743 | TN | Primary |
Addresses
Primary practice location
5655 Frist Blvd
Hermitage, TN 37076-2053
Mailing address
1011 Monroe LN
Brentwood, TN 37027-8481
Phone (903) 258-2996
Other practice location 1
320 Racetrack Rd NW Ste 100A
Fort Walton Beach, FL 32547-1796
Phone (850) 315-8360
Other practice location 2
1000 W. Kingshighway
Suite 4
Paragould, AR 72450
Phone (870) 239-8307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032MT | Other | TX | BCBS OF TX |
| 173761101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, TN, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of North Texas HSC, College of Osteopathic Med, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5655 1St Blvd
Hermitage, TN 37076-2053
Phone (864) 908-3530
620 Skyline Dr
Jackson, TN 38301-3923
Phone (800) 967-2289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9236 | TX | MD | Obstetrics & Gynecology Physician |
| 3743 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Multi-Specialty | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Obhg Tennessee, P.C. | Multi-Specialty | Current | Accepting new patients |
| WT Medical Associates | Multi-Specialty | Current | Accepting new patients |
| WT Medical Associates | Current | Accepting new patients | |
| WT Medical Associates | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Multi-Specialty | Current | Accepting new patients |
| Etmc Physician Group Inc. | Multi-Specialty | Current | Accepting new patients |
| OB Hospitalist Group LLC | Multi-Specialty | Current | Accepting new patients |
| OB Hospitalist Group LLC | Multi-Specialty | Current | Accepting new patients |
| OB Hospitalist Group LLC | Multi-Specialty | Current | Accepting new patients |
| Paragould Obstetrics and Gynecology, PLLC | Multi-Specialty | Past | Accepting new patients |
| Her Health , PLLC | Multi-Specialty | Past | Accepting new patients |
Locations
1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
1720 Woodlawn Ave
Ste 1
Dyersburg, TN 38024
Phone (731) 285-2100
400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410
420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133
5651 Frist Blvd
Ste 213
Hermitage, TN 37076
Phone (615) 250-6900
5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541
257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
1700 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 396-4100
300 20th Ave N
Fl 9
Nashville, TN 37203
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
203 Nacogdoches St
Ste 370
Jacksonville, TX 75766
Phone (903) 586-7788
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Networks
- Freedom Health HMO Network
Interoperability endpoints
- charles.burk@hca5.eclinicaldirectplus.com
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
Multi-Specialty
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Multi-Specialty
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
Multi-Specialty
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
Multi-Specialty
-
dba West Tennessee Medical Group Primary Care Halls
- Rural Health Clinic/Center
- Halls, TN
- NPI 1356176556
-
dba West Tennessee Medical Group Primary Care & Women's Health
- Rural Health Clinic/Center
- Dyersburg, TN
- NPI 1427604198
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Obstetrics & Gynecology Physician
- Naples, FL
- NPI 1811652704
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1689780777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 MONROE LN",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278481",
"telephone_number": "903-258-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5655 FRIST BLVD",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370762053",
"telephone_number": "615-316-3000"
}
],
"practiceLocations": [
{
"address_1": "320 Racetrack Rd NW Ste 100A",
"address_purpose": "LOCATION",
"city": "Fort Walton Beach",
"state": "FL",
"postal_code": "325471796",
"country_code": "US",
"telephone_number": "850-315-8360",
"fax_number": "850-315-4262",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W. Kingshighway",
"address_2": "Suite 4",
"address_purpose": "LOCATION",
"city": "Paragould",
"state": "AR",
"postal_code": "72450",
"country_code": "US",
"telephone_number": "870-239-8307",
"fax_number": "870-239-8301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURK",
"first_name": "CHARLES",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "E-11084",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "K9236",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS16017",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "3743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TX",
"identifier": "0032MT",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173761101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.