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

Jason Burklow, MD

Individual provider Family Medicine Physician · NPI 1740600683

Jason Burklow, MD is a Family Practice in Lake Charles, Louisiana. Qualified in 2014, 12 years ago. Practices with Imperial Health LLP, a 76-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
12
Licensed in
LA
In the registry since
2014
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

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone: (337) 312-8730
Fax: (337) 312-8375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 306979 (LA)

Record details

NPI number1740600683
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2014
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Imperial Health Llp — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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