Individual provider Active NPI

Dennis R Burrow, M.D.

  • Emergency Medicine Physician
  • Little Rock, AR
National Provider Identifier
1467615542
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C-5378 Issued in AR
Practice address
311 N Elm St
Little Rock, AR 72205-5543
Phone
(501) 227-8439
NPI assigned
Jul 8, 2008
Last updated
Mar 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C-5378 AR Primary

Addresses

Primary practice location

311 N Elm St
Little Rock, AR 72205-5543

Mailing address

311 N Elm St
Little Rock, AR 72205-5543
Phone (501) 227-8439

Other identifiers 2

IdentifierTypeStateIssuer
104775001MedicaidAR
50799OtherARBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221001783 NE Practitioner - Emergency Medicine 8527129238

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-5378ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicot Memorial Hospital Past Accepting new patients
Baptist Health PastSince Jan 1, 2008 Accepting new patients
Genesis Emergency Medicine Services LLC Emergency Medicine Past Accepting new patients
North Division Street Emergency Physicians Emergency Medicine Past Accepting new patients
McGehee Desha County Hospital Past Accepting new patients
Baptist Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dburrow59778@surescripts.sfmc.net
  • Direct secure messaging: eshdburro@yourcarecommunity.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1467615542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N ELM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055543",
            "telephone_number": "501-227-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N ELM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055543",
            "telephone_number": "501-227-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROW",
        "first_name": "DENNIS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-5378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104775001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50799",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.