David Michael Burkhalter

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

11468 Issued in LA

Practice address

304 E Reynolds Dr
Ruston, LA 71270-2817

Phone

(318) 224-9148

NPI assigned

Aug 7, 2023

Last updated

Aug 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• JBJT Services, LLC

  dba Johnson Physical Therapy

  • Physical Therapist
  • Ruston, LA
  • NPI 1699212688
  NPD

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1861174047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E REYNOLDS DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702817",
            "telephone_number": "318-680-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E REYNOLDS DR",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702817",
            "telephone_number": "318-224-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHALTER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "LA",
            "license": "11468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter C Buboltz Jr., PH.D.
• Buddy Drivers LLC
• Buddy Drivers LLC (Odessa's Medical Transportation)
• Bonnie Lejeune Buller, L.C.S.W.
• Stephanie Bundle
• Jillian Lea Burns, PLPC
• Mark David Burns, FNP-C
• Alissa Danielle Burris
• Beau Michael Burton, FNP-C
• Greene Butler, M.D.

• Physical Medicine & Rehabilitation Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Physical Medicine & Rehabilitation Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.