Active NPI
Scott Alan Burlison, MD
- Pain Medicine Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- M7884
- Practice address
- 3414 Golden Rd
Tyler, TX 75701-8336 - Phone
- (903) 939-7500
- Fax
- (903) 939-7723
- NPI assigned
- Jun 14, 2007
- Last updated
- Oct 18, 2022
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M7884 | TX | |
| Pain Medicine Physician | 208VP0000X | M7884 | TX | Primary |
Addresses
Primary practice location
3414 Golden Rd
Tyler, TX 75701-8336
Mailing address
3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500
Other practice location 1
1123 S Palestine St Ste 100
Athens, TX 75751-3645
Phone (903) 939-7500
Other practice location 2
2701 US Highway 271 N
Pittsburg, TX 75686-4289
Phone (903) 939-7500
Other practice location 3
305 W 20th St
MT Pleasant, TX 75455-2327
Phone (903) 939-7500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1953411601 | Medicaid | TX | |
| 8U8518 | Other | TX | BCBS OF TEXAS |
| 195341602 | Medicaid | TX | |
| TIN PLUS 042 | Other | TX | TRICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortholonestar, PLLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Anesthesiology | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Ortholonestar, PLLC | Current | Accepting new patients |
Locations
1123 S Palestine St
Ste 100
Athens, TX 75751
Phone (903) 675-5300
1123 S Palestine St
Ste 300
Athens, TX 75751
Phone (903) 937-7500
3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034
Phone (214) 220-2522
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
305 W 20th St
Mt Pleasant, TX 75455
Phone (903) 572-2222
2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000
1327 Troup Hwy
Tyler, TX 75701
Phone (903) 510-8764
3414 Golden Rd
Tyler, TX 75701
Phone (903) 590-3050
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1942860176
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Anesthesiology
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Orthopaedic Surgery Physician
- Tomball, TX
- NPI 1073475679
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, TX
- NPI 1417465824
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Rehabilitation Hospital
- Tyler, TX
- NPI 1174021695
Inpatient rehabilitation facility
-
dba Baylor Scott & White TX Spine & Joint Hos Imaging Ctr
- General Acute Care Hospital
- Tyler, TX
- NPI 1942292255
-
dba Titus Regional Medical Center
- Multi-Specialty Clinic/Center
- Mount Pleasant, TX
- NPI 1063548881
Hospital
-
dba Titus Regional Medical Center
- General Acute Care Hospital
- Mount Pleasant, TX
- NPI 1174526529
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1932303534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 GOLDEN RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757018336",
"telephone_number": "903-939-7500",
"fax_number": "903-939-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3414 GOLDEN RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757018336",
"telephone_number": "903-939-7500",
"fax_number": "903-939-7723"
}
],
"practiceLocations": [
{
"address_1": "1123 S Palestine St Ste 100",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "TX",
"postal_code": "757513645",
"country_code": "US",
"telephone_number": "903-939-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2701 US Highway 271 N",
"address_purpose": "LOCATION",
"city": "Pittsburg",
"state": "TX",
"postal_code": "756864289",
"country_code": "US",
"telephone_number": "903-939-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "305 W 20th St",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "TX",
"postal_code": "754552327",
"country_code": "US",
"telephone_number": "903-939-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURLISON",
"first_name": "SCOTT",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2022-10-18",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "M7884",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": "M7884",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1953411601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8U8518",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195341602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "TIN PLUS 042",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.