Burt, James Travis

Burt, James Travis is an individual health care provider with primary practice located at 1 Medical Park Blvd Ste 400E , Bristol TN 37620-7431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Burt, James Travis can be contacted via phone (423) 844-5400.

Contact Information

Primary practice address
1 Medical Park Blvd Ste 400E Bristol TN 37620-7431
Phone: (423) 844-5400
Fax: (423) 844-5434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0101056734 Virginia
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0000026843 Tennessee

Profile Details

NPI number 1619983962
LBN Legal business name Burt, James Travis
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Oct 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619983962 NPPES
Tennessee MEDICAID 3092743
Tennessee MEDICAID 9801401000
Tennessee MEDICAID 6101241

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