Individual provider Active NPI

Charles Reed Burk, DO

  • Obstetrics & Gynecology Physician
  • Hermitage, TN
National Provider Identifier
1689780777
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3743 Issued in TN
Practice address
5655 Frist Blvd
Hermitage, TN 37076-2053
Phone
(615) 316-3000
NPI assigned
Aug 22, 2006
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E-11084 AR
Obstetrics & Gynecology Physician 207V00000X K9236 TX
Obstetrics & Gynecology Physician 207V00000X OS16017 FL
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0032MTOtherTXBCBS OF TX
173761101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050323000606 TX Practitioner - Obstetrics/Gynecology 9830145861 Reassigns benefits to 2 organizations
Practice locations: Jacksonville, TX
I20191102000274 TN Practitioner - Obstetrics/Gynecology 9830145861 Reassigns benefits to 3 organizations
I20221115000103 FL Practitioner - Obstetrics/Gynecology 9830145861 Reassigns benefits to 2 organizations

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
Obhg Tennessee, P.C.Group PAC ID 1850566514, 12 clinicians

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

LicenseStateTypeSpecialty
K9236TXMDObstetrics & Gynecology Physician
3743TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Multi-Specialty CurrentSince Mar 8, 2019 Accepting new patients
Florida Hospital Medical Group Inc Multi-Specialty CurrentSince Dec 30, 2022 Accepting new patients
Etmc Physician Group Inc. CurrentSince Jul 1, 2020 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 30, 2022 Accepting new patients
Obhg Tennessee, P.C. Multi-Specialty CurrentSince Sep 5, 2019 Accepting new patients
WT Medical Associates Multi-Specialty Current Accepting new patients
WT Medical Associates CurrentSince Jul 8, 2023 Accepting new patients
WT Medical Associates CurrentSince Jul 8, 2023 Accepting new patients
Saint Thomas Medical Partners Multi-Specialty CurrentSince Dec 17, 2025 Accepting new patients
Etmc Physician Group Inc. Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
OB Hospitalist Group LLC Multi-Specialty Current Accepting new patients
OB Hospitalist Group LLC Multi-Specialty CurrentSince Jul 21, 2022 Accepting new patients
OB Hospitalist Group LLC Multi-Specialty CurrentSince Jul 21, 2022 Accepting new patients
Paragould Obstetrics and Gynecology, PLLC Multi-Specialty PastSince Jan 29, 2018 Accepting new patients
Her Health , PLLC Multi-Specialty PastSince Aug 8, 2024 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

  • Direct secure messaging: 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.

View all 15

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

Verify at the official NPI Registry.