DR. CHARLES MICHAEL BOURLAND (NPI# 1184744401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184744401 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MICHAEL BOURLAND |
| Credential | D.O. |
| Practice Address |
524 Spruce St Brookings OR 97415 |
| Mailing Address |
Po Box 243 Brookings OR 97415-0012 |
| Practice Telephone | 5414695958 |
| Mailing Telephone | 5414695958 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2672 | OR | Chiropractic Providers |
| Street Address |
524 SPRUCE ST |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417565185 | Alternative Health Centers of Brookings | Chiropractor | 100 22nd Ave S, Brookings, SD 57006-2654 | 2020-07-20 |
| 1699212928 | Crevier Chiropractic LLC | Chiropractor | 2410 Sunrise Ridge Cir, #108, Brookings, SD 57006-2482 | 2017-01-25 |
| 1427410422 | Anderson Chiropractic, Inc | Chiropractor | 411 Mill Beach Rd Ste A, Brookings, OR 97415-9690 | 2016-03-28 |
| 1902214992 | Chad Anderson | Chiropractor | 411 Mill Beach Rd, Ste A, Brookings, OR 97415-9690 | 2014-07-23 |
| 1629314901 | Lamer Chiropractic and Wellness, LLC | Chiropractor | 958 22nd Ave S, Brookings, SD 57006-2830 | 2012-12-14 |
| 1275779647 | Willert Enterprises PC | Chiropractor | 405 Main Ave, Brookings, SD 57006-1935 | 2009-01-06 |
| 1063678506 | Jason Scott Flaskey | Chiropractor | 1722 6th St, Brookings, SD 57006-2329 | 2008-08-04 |
| 1407013394 | Justin Wade Mckillip | Chiropractor | 1829 6th St, Brookings, SD 57006-1606 | 2008-05-19 |
| 1952504888 | Wendy Blymyer | Chiropractor | 610 5th St Ste C, Brookings, OR 97415-9199 | 2007-06-07 |
| 1396841573 | Anthony Paul Murray | Chiropractor | 750 22nd Ave S, Brookings, SD 57006-2822 | 2006-09-15 |
| Find all providers in BROOKINGS | ||||
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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.