Individual provider Active NPI

James D Burrow, MD

  • Family Medicine Physician
  • Bentonville, AR
National Provider Identifier
1336201169
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-4964 Issued in AR
Practice address
1204 SE 28TH Street
Bentonville, AR 72712-3887
Phone
(479) 268-3477
Fax
(479) 268-3478
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E4964 AR
Emergency Medicine Physician 207P00000X E-4964 AR
Family Medicine Physician 207Q00000X E-4964 AR Primary

Addresses

Primary practice location

1204 SE 28TH Street
Bentonville, AR 72712-3887

Mailing address

1204 SE 28TH Street
Ste 201
Bentonville, AR 72712-3887
Phone (479) 268-3477

Other identifiers 1

IdentifierTypeStateIssuer
16559901MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-4964ARMDFamily Medicine Physician
E4964ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Feet Plus Solutions Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1336201169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 SE 28TH STREET",
            "address_2": "STE 201",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123887",
            "telephone_number": "479-268-3477",
            "fax_number": "479-268-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 SE 28TH STREET",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123887",
            "telephone_number": "479-268-3477",
            "fax_number": "479-268-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROW",
        "first_name": "JAMES",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E4964",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-4964",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-4964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16559901",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.