MEDICARE: DR. WILLIAM D. BURLESON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	J1203	TX
2	2085R0001X	Radiation Oncology Physician	MS19362	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C00047	OTHER	MS	MEDICARE GROUP #
3	P00219726	OTHER	TX	RR/MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1033557-03	OTHER	TX	CSHCN
4	000190059	OTHER	MS	BLUE CROSS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	8P2376	OTHER	TX	BLUE SHIELD

General Provider Information

NPI Number	:	1922060722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM D. BURLESON M.D.

Provider Business Mailing Address
First Line	:	1732 MEDICAL PARK DR
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39532-2131
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1732 MEDICAL PARK DR
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39532-2131
Country	:	US
Telephone Number	:	228-314-2510
Fax Number	:	228-314-2517

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	10/17/2013

Similar Medicare Providers

1407852429 — SHAUN W MCKEE MD
Practice Location Address:

1720C MEDICAL PARK DR
BILOXI, MS
39532-2131

Practice Phone: 228-354-0251
Practice Fax: 228-396-3550

1801892831 — OPEN MRI, LLC
Practice Location Address:

1720C MEDICAL PARK DR
BILOXI, MS
39532-2131

Practice Phone: 228-354-0251
Practice Fax: 228-396-3550

1902858004 — SOUTH MISSISSIPPI MAXILLOFACIAL SURGERY CENTER
Practice Location Address:

1760 MEDICAL PARK DR , SUITE B
BILOXI, MS
39532-2131

Practice Phone: 228-388-5925
Practice Fax: 228-388-8153

1821041492 — DR. THOMAS ZAKKAK DDS
Practice Location Address:

1760 MEDICAL PARK DR , SUITE A
BILOXI, MS
39532-2131

Practice Phone: 228-388-5925
Practice Fax: 228-388-8153

1407809098 — DR. ROBERT T WATTS, JR DMD
Practice Location Address:

1760 MEDICAL PARK DR , SUITE A
BILOXI, MS
39532-2131

Practice Phone: 228-388-5925
Practice Fax: 228-388-8153

1245285592 — DR. JOHN H WATTS DDS
Practice Location Address:

1760 MEDICAL PARK DR , SUTIE A
BILOXI, MS
39532-2131

Practice Phone: 228-388-5925
Practice Fax: 228-388-8153

Directions to “ DR. WILLIAM D. BURLESON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.