Organization Active NPI

Nelon Medical Group PLLC

  • Specialist
  • Burleson, TX
National Provider Identifier
1902202575
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G3640 Issued in TX
Legal business name
NELON MEDICAL GROUP PLLC
Practice address
434 SW Wilshire Blvd
Burleson, TX 76028-5330
Phone
(817) 447-1208
NPI assigned
Nov 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Dr. Burlyn C Nelon, DO
Title
Owner/D.O
Phone
(817) 447-1208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G3640 TX Primary

Addresses

Primary practice location

434 SW Wilshire Blvd
Burleson, TX 76028-5330

Mailing address

434 SW Wilshire Blvd
Burleson, TX 76028-5330

Other names 1

  • Nelon Medical Group PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

434 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 447-1208

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1902202575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 SW WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 SW WILSHIRE BLVD",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285330",
            "telephone_number": "817-447-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELON MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "NELON",
        "authorized_official_first_name": "BURLYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/D.O",
        "authorized_official_telephone_number": "817-447-1208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G3640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelon Medical Group PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.