Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jefferson Todd Burson, PA-C

Individual provider Medical Physician Assistant · NPI 1215928411

Jefferson Todd Burson, PA-C is a Medical Physician Assistant in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2005.

Licensed in
OK
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1120 S Utica Ave
Tulsa, OK 74104-4012
Phone: (918) 728-6194
Fax: (918) 664-2521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA838 (OK)

Record details

NPI number1215928411
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESJuly 13, 2026

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