Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles K Burlison, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1366481434

Dr. Charles K Burlison, MD is an Obstetrics/Gynecology in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1994, 32 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Missouri.

Years since qualifying
32
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone: (318) 626-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1165 N Butterfield Rd, Bolivar, MO 65613-1056 — (314) 849-0311

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence MD.022218 (LA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 114937 (MO)

Record details

NPI number1366481434
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1994 (32 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport