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

Russell D Burlison, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1073517975

Russell D Burlison, MD is an Obstetrics/Gynecology in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1997, 29 years ago. Practices with Highland Clinic, a Prof Med Corp, a 60-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
29
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2005
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

1455 E Bert Koun Loop
Shreveport, LA 71105-5634
Phone: (318) 798-4400
Fax: (318) 798-4525
Show map & directions

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

Additional practice locations (1)

  • 1455 E Bert Koun Loop Ste 100, Shreveport, LA 71105-5634 — (318) 681-4606

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 023583 (LA)

Record details

NPI number1073517975
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2005
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

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 1997 (29 years in practice)
Group practice Highland Clinic, A Prof Med Corp — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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