Provider Demographics
NPI:1679538235
Name:ROWLAND, EDMUND BURRILL JR (MD)
Entity type:Individual
Prefix:
First Name:EDMUND
Middle Name:BURRILL
Last Name:ROWLAND
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 SPRING HILL AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1409
Mailing Address - Country:US
Mailing Address - Phone:251-435-2663
Mailing Address - Fax:251-435-1098
Practice Address - Street 1:1720 SPRING HILL AVE STE 301
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1409
Practice Address - Country:US
Practice Address - Phone:251-435-2663
Practice Address - Fax:251-435-1098
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL50782207XS0106X
CO45607207X00000X, 207XS0106X
NC200500557207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO51225328Medicaid
CO51225328Medicaid
CO808555Medicare PIN