Active NPI
Rex L Burrow Jr., MD
- Anatomic Pathology & Clinical Pathology Physician
- McComb, MS
National Provider Identifier
1962693796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 04964
- Practice address
- 305 Rawls Dr
McComb, MS 39648-2833 - Phone
- (601) 684-0465
- Fax
- (601) 684-3031
- NPI assigned
- Aug 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 51249 | TN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 04964 | MS | Primary |
Addresses
Primary practice location
305 Rawls Dr
McComb, MS 39648-2833
Mailing address
8066 Walnut Run Rd
Ste 100
Cordova, TN 38018-8842
Phone (901) 252-3411
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04964 | MS | MD | Anatomic Pathology & Clinical Pathology Physician |
Interoperability endpoints
- rex.burrow.p1@direct.cpc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1962693796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8066 WALNUT RUN RD",
"address_2": "STE 100",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380188842",
"telephone_number": "901-252-3411",
"fax_number": "901-763-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 RAWLS DR",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482833",
"telephone_number": "601-684-0465",
"fax_number": "601-684-3031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROW",
"first_name": "REX",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-07",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "TN",
"license": "51249",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MS",
"license": "04964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.