DR. CHARLES K BURLISON M.D.
NPI 1366481434
Obstetrics & Gynecology in Shreveport, LA

Q: What is Charles Burlison's NPI number?

The NPI number for Charles Burlison is 1366481434. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Charles Burlison's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Burlison was last updated on February 17, 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.

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Charles K Burlison M.d. NPPES

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

DR. CHARLES K BURLISON M.D. (NPI 1366481434) is an individual obstetrics & gynecology provider in Shreveport, Louisiana, licensed in Louisiana (MD.022218) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lsu Health Shreveport-st Mary Medical Cent, and maintains a secondary practice location in Bolivar.

NPPES Registry Identity

NPI1366481434

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. CHARLES K BURLISONCredential: M.D.

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 626-0287

Phone(318) 626-0000

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1994

Enumeration DateJune 5, 2006

Last NPPES UpdateFebruary 17, 2023

NPPES CertifiedFebruary 17, 2023

✔ NPI 1366481434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in LA · MD.022218✔ Licensed in MO · 114937

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1541 KINGS HWY, Shreveport, LA 71103

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Secondary Practice Location 1

Location 11165 N Butterfield RdBolivar, MO 65613-1056 · Phone (314) 849-0311 ext. 106 · Fax (314) 849-4423

Other Identifiers 1

Medicaid203834015MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles K Burlison M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759356280

PECOS Enrollment IDI20040830000073

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Lsu Health Shreveport-St Mary Medical Cent

Acute Care Hospitals · Shreveport, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190317

Location911 Margaret PlaceShreveport, LA 71101 · Caddo County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)