DR. CHARLES ROLAND BURNETT M.D. NPI 1134122302

NPI Information

NPI: 1134122302
Provider Name: DR. CHARLES ROLAND BURNETT, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
80 HUMPHREYS CTR
SUITE 202
MEMPHIS, TN
ZIP 38120
Phone: (901) 747-3330
Get Directions

DR. Charles Roland Burnett, M.D. is a cardiovascular disease internal medicine in Memphis, TN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Charles Roland Burnett, M.D. NPI is 1134122302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

80 HUMPHREYS CTR
SUITE 202
MEMPHIS, TN
ZIP 38120-361
Phone: (901) 747-3330
Fax: (901) 747-3245

The enumeration date for this NPI number is 5/23/2005 and was last updated on 11/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	C-5269	ARKANSAS	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	MD014125	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	62116765701	OTHER		QUALCHOICE
2	3194515	MEDICAID	TENNESSEE
3	81185	OTHER	ARKANSAS	BCBS
4	4146198	OTHER	TENNESSEE	BCBS
5	P00378334	OTHER	TENNESSEE	RAIL ROAD MEDICARE
6	202043303	MEDICAID	MISSOURI
7	4118485	OTHER	TENNESSEE	AETNA
8	DO04626	MEDICARE UPIN
9	102G26	OTHER	MISSOURI	MO BLUE CROSS
10	000000039811	OTHER	TENNESSEE	TLC
11	00013823	MEDICAID	MISSISSIPPI
12	52225	MEDICARE PIN	ARKANSAS
13	P00372263	OTHER	MISSISSIPPI	RAIL ROAD MEDICARE
14	107284001	MEDICAID	ARKANSAS
15	060000888	MEDICARE PIN	MISSISSIPPI
16	3194515	MEDICARE PIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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