Robert Benjamin Burns, M.D.
Individual provider Active NPI Pain Medicine Physician · Pascagoula, MS
NPI 1720179401 · NPPES record last updated Oct 4, 2024
Key facts
- NPI
- 1720179401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- License
- 18248 (MS)
- Practice address
- 4603 Hospital St
Ste a
Pascagoula, MS 39581-5337 - Phone
- (228) 769-9797
- Fax
- (228) 769-9779
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 62
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital at Gulfport
Practice addresses (Care Compare)
1340 Broad Ave
Gulfport, MS 39501-2460
1340 Broad Ave
Gulfport, MS 39501-2465
14209 Cook Rd
Biloxi, MS 39532-9719
Phone (228) 575-2536
14213 Cook Rd
BLDG a
Biloxi, MS 39532-9719
Phone (228) 575-2545
4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152
4603 Hospital St
Pascagoula, MS 39581-5337
Phone (228) 822-6040
952 Green Meadow Rd
Bay St Louis, MS 39520-1620
Phone (228) 463-1649
Hospital & facility affiliations
- Memorial Hospital at Gulfport
- Singing River Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040223000662 | MS | Practitioner - Internal Medicine | 8921994500 |
Reassigns benefits to 1 organization Receives reassigned benefits from 1 practitioner Practice locations: Pascagoula, MS |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current |
Accepting new patients | |
| Robert B. Burns, MD | Internal Medicine | Past |
Accepting new patients |
| St Bernards Hospital Inc. | Past | Accepting new patients | |
| Memorial Hospital at Gulfport | Past | Accepting new patients |
Locations
952 Green Meadow Rd
Bay St Louis, MS 39520
Phone (228) 463-1649
14209 Cook Rd
#100
Biloxi, MS 39532
Phone (228) 575-2474
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451
4603 Hospital St
Ste A
Pascagoula, MS 39581
Phone (228) 769-9797
Interoperability endpoints
- rburns@direct.mhg.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18248 | MS | |
| Pain Medicine Physician | 208VP0000X | 18248 | MS | Yes |
Addresses
Primary practice location
4603 Hospital St
Ste a
Pascagoula, MS 39581-5337
Mailing address
4603 Hospital St
Ste a
Pascagoula, MS 39581-5337
Phone (228) 769-9797
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01426024 | Medicaid | MS |
Other providers in Pascagoula, MS
- Jonathan Bui
- Julie Bullock
- Lindsay Williams Buono
- Valerie B Buras
- Donna Marie Burks
- Martin Bydalek
- Marianne Cabrera-Arroyo
- Victor Calcote
- Venus Jeanette Callahan
- Cynthia Jean Camburn
All providers in Pascagoula, MS · Pain Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.