Active NPI
Marty G Burroughs Sr.
- Taxi
- Saint Robert, MO
National Provider Identifier
1588037154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- S135329002
- Practice address
- 15275 Texas Rd
Saint Robert, MO 65584-3232 - Phone
- (573) 774-8364
- NPI assigned
- Nov 4, 2015
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | S135329002 | MO | Primary |
Addresses
Primary practice location
15275 Texas Rd
Saint Robert, MO 65584-3232
Mailing address
15275 Texas Rd
Saint Robert, MO 65584-3232
Phone (573) 774-8364
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S135329002 | MO | MD | Taxi |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1588037154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15275 TEXAS RD",
"city": "SAINT ROBERT",
"state": "MO",
"postal_code": "655843232",
"telephone_number": "573-774-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15275 TEXAS RD",
"city": "SAINT ROBERT",
"state": "MO",
"postal_code": "655843232",
"telephone_number": "573-774-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS",
"first_name": "MARTY",
"middle_name": "G",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-04",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "MO",
"license": "S135329002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Robert, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.