Organization Active NPI

Jerry a Burns MD PA

  • Obstetrics & Gynecology Physician
  • Searcy, AR
National Provider Identifier
1063613883
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C6382 Issued in AR
Legal business name
JERRY A BURNS MD PA
Practice address
1905 E Beebe Capps Expy
Searcy, AR 72143-6973
Phone
(501) 279-7877
Fax
(501) 279-3719
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karla Money
Title
Ins
Phone
(501) 279-7877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X C6382 AR Primary

Addresses

Primary practice location

1905 E Beebe Capps Expy
Searcy, AR 72143-6973

Mailing address

1905 E Beebe Capps Expy
Searcy, AR 72143-6973
Phone (501) 279-7877

Other identifiers 3

IdentifierTypeStateIssuer
54377OtherARBCBS
118495002MedicaidAR
54377OtherARMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1063613883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436973",
            "telephone_number": "501-279-7877",
            "fax_number": "501-279-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436973",
            "telephone_number": "501-279-7877",
            "fax_number": "501-279-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY A BURNS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "MONEY",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "INS",
        "authorized_official_telephone_number": "501-279-7877"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "C6382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54377",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118495002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "54377",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.