Bruce A Bourdon, MD | |
1700 Skylyn Dr, Spartanburg, SC 29307-1041 | |
(864) 297-6574 | |
Not Available |
Full Name | Bruce A Bourdon |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 34 Years |
Location | 1700 Skylyn Dr, Spartanburg, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700832342 | NPI | - | NPPES |
T34022 | Medicaid | SC | |
57-1074902 | Other | SC | BCBS/SC |
930071137 | Other | SC | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 19592 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis-downtown | Greenville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vituity-south Carolina Llc | 5698188522 | 34 |
Entity Name | St Francis Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558305995 PECOS PAC ID: 3779487186 Enrollment ID: O20031126000091 |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270 |
Entity Name | Acs Emergency Physicians Of Sc Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124355375 PECOS PAC ID: 0648311506 Enrollment ID: O20100114000254 |
Entity Name | Ich Er Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174002059 PECOS PAC ID: 2860744331 Enrollment ID: O20181010003402 |
Entity Name | Vituity-south Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194328724 PECOS PAC ID: 5698188522 Enrollment ID: O20210113001571 |
Mailing Address | Practice Location Address |
---|---|
Bruce A Bourdon, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Bruce A Bourdon, MD 1700 Skylyn Dr, Spartanburg, SC 29307-1041 Ph: (864) 297-6574 |
Stephanie Anja Taft, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 E Blackstock Rd, Spartanburg, SC 29301 Phone: 864-576-8646 | |
Dr. John Falcon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-4123 | |
Rosanna Patrice Couture, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 | |
Benjamin David Theobald, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 Fax: 864-560-7388 | |
Kristin Demosthenes Rowland, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6000 | |
Brandon Keith Wyss, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7025 Fax: 864-560-7388 | |
Dr. Brian E Rothemich, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 E Wood St, Emergency Center, Spartanburg, SC 29303 Phone: 864-560-6222 |