ROBERT I BOURNE JR. (NPI# 1174513303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174513303 |
| Entity Type | Individual |
| Full Name | ROBERT I BOURNE JR. |
| Credential | MD |
| Practice Address |
101 Hospital Dr Camden TN 38320-1617 |
| Practice Telephone | 7315842020 |
| Mailing Telephone | 7315842020 |
| Mailing Fax Number | 7315842022 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD2641 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235151630 | Robert Randall Bourne | Dentist | 1341 Mt Highway 282, Fort Harrison, MT 59636-0232 | 2006-07-24 |
| 1487646998 | Robert B Bourne | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
| 1417985847 | Robert Cm Bourne | Family Medicine | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2006-06-28 |
| Street Address |
101 HOSPITAL DR |
| City | CAMDEN |
| State | TN |
| Zip Code | 38320-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831511146 | Agape Family Wellness Clinic | General Practice | 101 Hospital Dr, Camden, TN 38320-1617 | 2014-01-07 |
| 1992008700 | Verneda L Herring | Nurse Practitioner | 101 Hospital Dr, Camden, TN 38320-1617 | 2010-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525395 | Mickie Carter | Physician Assistant | 284 Hwy 641 N, Camden, TN 38320 | 2011-01-19 |
| 1447574249 | Virginia Margarita Peebles | Nurse Practitioner | 176 Briarwood Ave, Suite B, Camden, TN 38320 | 2010-03-23 |
| 1194857417 | Tron D Baker | Case Manager/Care Coordinator | 495 Liberty Rod, Camden, TN 38320 | 2007-03-12 |
| 1801968854 | Michael Eugene Bogard | Physical Therapist | 77 East Lake St, Camden, TN 38320 | 2006-11-14 |
| 1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
| 1629000567 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 195 North 641, Camden, TN 38320 | 2006-07-07 |
| 1215995287 | Quality Home Health Care, Inc. | Home Health | 279 W Main St, Camden, TN 38320 | 2006-05-01 |
| 1285612564 | Camden Medical Clinic, Inc | Clinic/Center | 160 Hospital Dr., Camden, TN 38320 | 2006-01-06 |
| 1073513636 | William Hall Mcconnell | Optometrist | 194 W. Main St., Camden, TN 38320 | 2005-07-26 |
| 1790077139 | Ccc Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 115 Vicksburg Ave, Camden, TN 38320 | 2011-05-04 |
| Find all providers in zip 38320 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013254499 | Deane Lawrence Hutchins | General Practice | 30 Community Dr Apt 165, Camden, ME 04843-2065 | 2013-01-06 |
| 1609088905 | Sprain and Strain Center, PC | General Practice | 1014 Broadway, Camden, NJ 08103 | 2007-05-07 |
| 1134217029 | Agustin V Vitualla | General Practice | 135 Hospital Dr, Camden, TN 38320 | 2006-10-10 |
| 1831511146 | Agape Family Wellness Clinic | General Practice | 101 Hospital Dr, Camden, TN 38320-1617 | 2014-01-07 |
| 1932119138 | Rufus Lester Neville Jr. | General Practice | 1007 Church St, Camden, SC 29020-4211 | 2006-08-09 |
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| 1982243093 | The Franklin Clinic, LLC | General Practice | 1311 W Main St # 7, Franklin, TN 37064-3300 | 2020-01-06 |
| 1992342307 | Tennessee Spine Wellness & Medical Group LLC | General Practice | 470 Collier Dr, Sevierville, TN 37862-6931 | 2019-12-04 |
| 1952953648 | Balanced Medical Center Pllc | General Practice | 501 W Oakland Ave Ste 3, Johnson City, TN 37604-1667 | 2019-07-12 |
| 1326511676 | All About Health Medical, Pllc | General Practice | 2759 Highway 31 W Ste 2, White House, TN 37188-5246 | 2019-01-09 |
| 1912481870 | Kendall Elizabeth Bush | General Practice | 2416 21st Ave S Ste 101, Nashville, TN 37212-5310 | 2018-09-18 |
| 1891202941 | One To One Health | General Practice | 1413 Mccallie Ave, Chattanooga, TN 37404-2936 | 2018-01-10 |
| 1396269072 | Solutions Medical Centers Pllc | General Practice | Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 | 2017-08-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.