Active NPI
William D. Burleson, M.D.
- Radiation Oncology Physician
- Biloxi, MS
National Provider Identifier
1922060722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MS19362
- Practice address
- 1732 Medical Park Dr
Biloxi, MS 39532-2131 - Phone
- (228) 314-2510
- Fax
- (228) 314-2517
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | J1203 | TX | |
| Radiation Oncology Physician | 2085R0001X | MS19362 | MS | Primary |
Addresses
Primary practice location
1732 Medical Park Dr
Biloxi, MS 39532-2131
Mailing address
1732 Medical Park Dr
Biloxi, MS 39532-2131
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C00047 | Other | MS | MEDICARE GROUP # |
| 1033557-03 | Other | TX | CSHCN |
| P00219726 | Other | TX | RR/MEDICARE |
| 000190059 | Other | MS | BLUE CROSS |
| 1033557-03 | Medicaid | TX | |
| 09014182 | Other | MS | MEDICAID GROUP # |
| 02007574 | Medicaid | MS | |
| 8P2376 | Other | TX | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MS19362 | MS | MD | Radiation Oncology Physician |
| J1203 | TX | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Oncology & Hematology PC | Radiation Oncology | Past | Accepting new patients |
| Comprehensive Radiology Services, PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Hattiesburg, MS
- NPI 1992731590
-
- Hematology & Oncology Physician
- Tulsa, OK
- NPI 1295785392
Radiation Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381968000000",
"number": "1922060722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 MEDICAL PARK DR",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 MEDICAL PARK DR",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322131",
"telephone_number": "228-314-2510",
"fax_number": "228-314-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLESON",
"first_name": "WILLIAM",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2013-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "J1203",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MS",
"license": "MS19362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "C00047",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "1033557-03",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR/MEDICARE",
"identifier": "P00219726",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000190059",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033557-03",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP #",
"identifier": "09014182",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02007574",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "8P2376",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.