Organization Active NPI

Robert B. Burns, MD

  • Internal Medicine Physician
  • Pascagoula, MS
National Provider Identifier
1710499744
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18248 Issued in MS
Legal business name
ROBERT B. BURNS, MD
Practice address
4211 Hospital St Ste 206
Pascagoula, MS 39581-5311
Phone
(228) 769-9797
NPI assigned
Oct 31, 2017
Last updated
Oct 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Robert Benjamin Burns, MDNPI 1720179401
Title
Owner/Sole Proprietor
Phone
(228) 769-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18248 MS Primary

Addresses

Primary practice location

4211 Hospital St Ste 206
Pascagoula, MS 39581-5311

Mailing address

4211 Hospital St Ste 206
Pascagoula, MS 39581-5311
Phone (228) 769-9797

Other identifiers 2

IdentifierTypeStateIssuer
429311256OtherMSBLUE CROSS BLUE SHIELD OF MS
01426024MedicaidMS

National Provider Directory

National Provider Directory

Locations

4211 Hospital St
Ste 206
Pascagoula, MS 39581
Phone (228) 696-9995

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1710499744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 HOSPITAL ST STE 206",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815311",
            "telephone_number": "228-769-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 HOSPITAL ST STE 206",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815311",
            "telephone_number": "228-769-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B. BURNS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "228-769-9797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "18248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MS",
            "identifier": "429311256",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01426024",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.