Individual provider Active NPI

William E Burns Jr., M.D.

  • Family Medicine Physician
  • Lake Jackson, TX
National Provider Identifier
1881680338
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E6265 Issued in TX
Practice address
201 Oak Dr S
Ste 101
Lake Jackson, TX 77566-5626
Phone
(979) 297-4507
Fax
(979) 480-9074
NPI assigned
Sep 21, 2005
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E6265 TX Primary

Addresses

Primary practice location

201 Oak Dr S
Ste 101
Lake Jackson, TX 77566-5626

Mailing address

201 Oak Dr S Ste 203
Lake Jackson, TX 77566-5627
Phone (979) 297-4507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100622000598 TX Practitioner - Family Practice 1850422734 Reassigns benefits to 1 organization
Receives reassigned benefits from 4 practitioners
Practice locations: Lake Jackson, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William E Burns Jr M D PLLCGroup PAC ID 7719369859, 2 clinicians

Practice addresses (Care Compare)

208 Oak Dr S
Suite 502
Lake Jackson, TX 77566-5789
Phone (979) 297-4507

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E6265TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William E Burns Jr M D, PLLC Family Medicine CurrentSince Apr 28, 2022 Accepting new patients
Options Urgent Care & Wellness Center LLC PastSince Nov 1, 2009 Accepting new patients
Henry E. Martinez MD, PA PastSince Dec 15, 2003 Accepting new patients

Locations

201 Oak Dr S
Ste 101
Lake Jackson, TX 77566
Phone (979) 297-3098

201 Oak Dr S
Ste 203
Lake Jackson, TX 77566
Phone (979) 297-4507

208 Oak Dr S
Ste 502
Lake Jackson, TX 77566
Phone (979) 285-2273

Interoperability endpoints

  • Direct secure messaging: wburns456041@direct.stlukeshealth.org

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1881680338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK DR S STE 203",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665627",
            "telephone_number": "979-297-4507",
            "fax_number": "979-480-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR S",
            "address_2": "STE 101",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665626",
            "telephone_number": "979-297-4507",
            "fax_number": "979-480-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.