CHARLES R. BURNETT, JR. M.D. – NPI #1134122302
Internal Medicine

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.

CHARLES BURNETT, JR. is a physician located in MEMPHIS, TN. NPPES has assigned the NPI number 1134122302 to CHARLES BURNETT, JR. on May 23, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 15 years ago on Nov 19, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES BURNETT, JR. below.

NPI Profile for
CHARLES R. BURNETT, JR.

NPI Number
1134122302
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES R. BURNETT, JR.
Credentials
M.D.
Primary location
80 HUMPHREYS CTR
SUITE 202
MEMPHIS, TN 38120-2361
Phone: (901) 747-3330 Fax: (901) 747-3245
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for CHARLES BURNETT, JR.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNATN4118485
OTHERBCBSAR81185
OTHERBCBSTN4146198
OTHERMO BLUE CROSSMO102G26
OTHERQUALCHOICE62116765701
OTHERRAIL ROAD MEDICAREMSP00372263
OTHERRAIL ROAD MEDICARETNP00378334
OTHERTLCTN000000039811
MEDICAIDAR107284001
MEDICAIDMO202043303
MEDICAIDMS00013823
MEDICAIDTN3194515
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
TN MD014125

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.