Bourge, Robert C

Bourge, Robert C is an individual health care provider with primary practice located at 2000 6Th Ave S , Birmingham AL 35233-2110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bourge, Robert C can be contacted via phone (205) 801-8000.

Contact Information

Primary practice address
2000 6Th Ave S Birmingham AL 35233-2110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9304 Alabama

Profile Details

NPI number 1598712424
LBN Legal business name Bourge, Robert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jun 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598712424 NPPES
Mississippi Other 00126738 MISSISSIPPI MEDICAID
Mississippi Other 051512050 MISSISSIPPI MEDICAID
Mississippi Other 060002735 MISSISSIPPI MEDICAID
Mississippi Other C71642 MISSISSIPPI MEDICAID
Mississippi Other 051512036 MISSISSIPPI MEDICAID
Mississippi Other 000010716 MISSISSIPPI MEDICAID
Mississippi MEDICAID 000010716 MISSISSIPPI MEDICAID
Mississippi MEDICAID 263918527A MISSISSIPPI MEDICAID

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