Kevin Raymond Bourgeois Jr, DO | |
4500 13th St, Gulfport, MS 39501-2515 | |
(228) 865-3151 | |
Not Available |
Full Name | Kevin Raymond Bourgeois Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4500 13th St, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437646239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 325332 (Louisiana) | Secondary |
207P00000X | Emergency Medicine | 27785 (Mississippi) | Primary |
Entity Name | Slidell Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295158418 PECOS PAC ID: 1254562663 Enrollment ID: O20140328000931 |
Entity Name | Belle Chasse Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851714075 PECOS PAC ID: 7113140070 Enrollment ID: O20140521001580 |
Entity Name | Vincent Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740816917 PECOS PAC ID: 0840621926 Enrollment ID: O20200505000479 |
Mailing Address | Practice Location Address |
---|---|
Kevin Raymond Bourgeois Jr, DO 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 865-3151 | Kevin Raymond Bourgeois Jr, DO 4500 13th St, Gulfport, MS 39501-2515 Ph: (228) 865-3151 |
William H. Grover, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3151 Fax: 228-867-4124 | |
Mr. Charlton Paige Dennison, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11446 Ashton Ln E, Gulfport, MS 39503 Phone: 205-344-2044 | |
David Sawyer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3151 Fax: 228-867-4124 | |
Dr. Debra Ann Hebert, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7120 Fax: 228-575-7103 | |
Zackary Fordham, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39502 Phone: 601-672-3173 | |
Dr. Martha Ann Dempsey, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 Beach Dr, Gulfport, MS 39507 Phone: 228-897-4450 Fax: 228-897-4450 | |
Dr. Drew Weber, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000 |