Individual provider Active NPI

Mark G Burnett, MD

  • Neurological Surgery Physician
  • Austin, TX
National Provider Identifier
1932195427
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
M7885 Issued in TX
Practice address
1015 E 32ND St
Ste 411
Austin, TX 78705
Phone
(512) 474-1114
Fax
(512) 474-1118
NPI assigned
Sep 21, 2005
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 33378 AZ
Neurological Surgery Physician 207T00000X M7885 TX Primary

Addresses

Primary practice location

1015 E 32ND St
Ste 411
Austin, TX 78705

Mailing address

1015 E 32ND St
Ste 411
Austin, TX 78705
Phone (512) 474-1114

Other practice location 1

5625 Eiger Rd Ste 115
Austin, TX 78735-8978
Phone (512) 654-4550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mburnett266520@direct.sw.org Direct

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
I20080130000130 TX Practitioner - Neurosurgery 1850331216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Maryland School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

100 Medical Pkwy
Lakeway, TX 78738-5621
Phone (512) 571-5000

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

200 E Cesar Chavez St
G140 Baylor Scott and White Clinic Austi
Austin, TX 78701-4289
Phone (512) 654-4100

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

2608 Brockton Dr
Austin, TX 78758-4414
Phone (512) 654-4050

3108 Ranch Rd 620
Lakeway, TX 78738-5635
Phone (512) 654-4200

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion190
Laminectomy or laminotomy (partial removal of spine bones)89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic CurrentSince Sep 1, 2016 Accepting new patients
Scott & White Clinic CurrentSince Sep 1, 2016 Accepting new patients
St. David's Ortho, Neuro and Rehab, PLLC CurrentSince Mar 1, 2012 Accepting new patients
Neurosurgical Associates, LTD Neurological Surgery Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

1015 E 32nd St
Ste 411
Austin, TX 78705
Phone (512) 478-3556

5625 Eiger Rd
Ste 115
Austin, TX 78735
Phone (512) 654-4550

5625 Eiger Rd
Ste 150
Austin, TX 78735
Phone (512) 654-4550

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

170 Benney Ln
Ste 204
Dripping Springs, TX 78620
Phone (512) 654-4350

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

200 Medical Pkwy
Ste 310
Lakeway, TX 78738
Phone (512) 654-0300

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2300 Round Rock Ave
Ste 201
Round Rock, TX 78681
Phone (512) 341-6612

425 University Blvd
Round Rock, TX 78665
Phone (512) 509-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Interoperability endpoints

  • Direct secure messaging: mburnett266520@direct.sw.org

Organizations & group practices 6

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 7

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": "1638403200000",
    "number": "1932195427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "STE 411",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-474-1114",
            "fax_number": "512-474-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E 32ND ST",
            "address_2": "STE 411",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-474-1114",
            "fax_number": "512-474-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5625 Eiger Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358978",
            "country_code": "US",
            "telephone_number": "512-654-4550",
            "fax_number": "512-654-4551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "MARK",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "33378",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "M7885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mburnett266520@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5625 Eiger Rd Ste 115",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787358978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.