Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JEFFERSON TODD BURSON PA-C
NPI 1215928411
Physician Assistant - Medical in Tulsa, OK

Active since November 04, 2005
1120 S UTICA AVE, TULSA, OK 74104(918) 728-6194(918) 664-2521 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Todd Burson Pa-c NPPES

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

JEFFERSON TODD BURSON PA-C (NPI 1215928411) is an individual medical provider in Tulsa, Oklahoma, licensed in Oklahoma (PA838) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1215928411
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJEFFERSON TODD BURSONCredential: PA-C
Location Address1120 S UTICA AVETulsa, OK 74104-4012
Mailing Address4500 S Garnett Rd, Suite 919Tulsa, OK 74146-5229 · (918) 728-6194 · Fax (918) 664-2521
Fax(918) 664-2521
Sole ProprietorNo
Enumeration DateNovember 4, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1215928411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · PA838
1120 S UTICA AVE, Tulsa, OK 74104

Other Providers at the Same Location NPPES 20

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

Dietitian, Registered
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1120 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Anesthesiology
1120 S UTICA AVE
TULSA, OK 74104

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 Jefferson Burson's NPI number?

The NPI number for Jefferson Burson is 1215928411. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Jefferson Burson located?

Jefferson Burson practices at 1120 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 728-6194.

What is Jefferson Burson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jefferson Burson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.