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STAN W BURLESON MD PA
NPI 1063104164
Family Medicine in De Witt, AR

Active since May 25, 2023
705 W 16TH ST, DE WITT, AR 72042(870) 946-1326(870) 946-4577 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2023, May 25, 2023 (2 updates tracked since 2023).

About Stan W Burleson Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAN W BURLESON MD PA (NPI 1063104164), doing business as Burleson Family Clinic, is a healthcare organization registered as a family medicine in De Witt, Arkansas and active in the NPI registry since May 2023. The organization lists Stanley Wayne Burleson, Owner, as its authorized official.

NPPES Registry Identity

NPI1063104164
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTAN W BURLESON MD PA
Location Address705 W 16TH STDe Witt, AR 72042-3414
Mailing AddressPo Box 32De Witt, AR 72042-0032 · (870) 233-2214 · Fax (870) 946-4577
Phone(870) 946-1326
Fax(870) 946-4577
Organization SubpartNo
Authorized OfficialStanley Wayne BurlesonOwner · (870) 946-1326
Enumeration DateMay 25, 2023
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1063104164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
705 W 16TH ST, De Witt, AR 72042
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Other Names 1

Doing Business AsBurleson Family Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STANLEY WAYNE BURLESON MD
Family Medicine
705 W 16TH ST
DEWITT, AR 72042
Arkansas County (870) 946-1326

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stan W Burleson MD PA's NPI number?

The NPI number for Stan W Burleson MD PA is 1063104164. It was assigned to this organization in the NPPES registry on May 25, 2023. The provider is doing business as Burleson Family Clinic.

Where is Stan W Burleson MD PA located?

Stan W Burleson MD PA is located at 705 W 16th St, De Witt, AR 72042. The listed phone number is (870) 946-1326.

What is Stan W Burleson MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stan W Burleson MD PA was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.