Bruce A Bourdon in Spartanburg - Emergency Medicine

Bruce A Bourdon - NPI 1700832342

Bruce A Bourdon is a Emergency Medicine in Spartanburg, South Carolina. Bruce A Bourdon practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Bruce A Bourdon is 1700832342. The last update date is 2008-05-28.

Bruce A Bourdon's current location address is 1700 Skylyn Dr, Spartanburg, South Carolina. You can contact this provider via phone number 8642976574. The mailing address for Bruce A Bourdon is 1700 Skylyn Dr, Spartanburg, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce A Bourdon
Address 1700 Skylyn Dr, Spartanburg, South Carolina
Phone Number 8642976574
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1700832342
Provider Enumeration Date 2006-05-25
Last Updated Date 2008-05-28

Provider Mailing Address Detail

Address 1700 Skylyn Dr
City Spartanburg
State South Carolina (SC)
Post Code 293071041
Phone Number 8642976574
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 19592
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
T34022 SC --
57-1074902 SC BCBS/SC
930071137 SC MEDICARE RAILROAD

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FAQs about Bruce A Bourdon

What is the unique identifier code issued to Bruce A Bourdon by the Centers for Medicare & Medicaid Services?

The Bruce A Bourdon has been assigned the NPI (National Provider Identifier) 1700832342. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Bruce A Bourdon is physically located?

The Bruce A Bourdon is situated at the following address: 1700 Skylyn Dr, Spartanburg, SC 293071041.

What is the area of specialization for Bruce A Bourdon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Bruce A Bourdon is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207P00000X.

On what date did Bruce A Bourdon receive its 1700832342 assignment from the Centers for Medicare & Medicaid Services?

The Bruce A Bourdon was assigned its 1700832342 on 2006-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Bruce A Bourdon last refreshed?

The information related to the Bruce A Bourdon, including its address, specialty, and other relevant details, was last updated on 2008-05-28.

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