Individual provider Active NPI

Paul Anthony Burow, DC

  • Chiropractor
  • Taylor, TX
National Provider Identifier
1376613679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5377 Issued in TX
Practice address
612 North Main Street
Taylor, TX 76574
Phone
(512) 352-5584
Fax
(512) 365-3113
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5377 TX Primary

Addresses

Primary practice location

612 North Main Street
Taylor, TX 76574

Mailing address

PO Box 773
Taylor, TX 76574
Phone (512) 352-5584

Other identifiers 1

IdentifierTypeStateIssuer
80360BOtherBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090326000645 TX Practitioner - Chiropractic 8325105851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burow Chriopractic Clinic LLCGroup PAC ID 1153488689, 2 clinicians

Practice addresses (Care Compare)

612 N Main St
Taylor, TX 76574-3647
Phone (512) 352-5584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5377TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Burow Chriopractic Clinic LLC Chiropractor CurrentSince Oct 1, 2007 Accepting new patients

Locations

612 N Main St
Taylor, TX 76574
Phone (512) 352-5504

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376613679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "76574",
            "telephone_number": "512-352-5584",
            "fax_number": "512-365-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 NORTH MAIN STREET",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "76574",
            "telephone_number": "512-352-5584",
            "fax_number": "512-365-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUROW",
        "first_name": "PAUL",
        "middle_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "80360B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.