BRANDON ELLIOTT BOURGEOUS (NPI# 1669476602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669476602 |
| Entity Type | Individual |
| Full Name | BRANDON ELLIOTT BOURGEOUS |
| Credential | MD |
| Practice Address |
788 8th Ave Se Suite 100 Cedar Rapids IA 52401-2107 |
| Practice Telephone | 3193632682 |
| Practice Fax Number | 3193631473 |
| Mailing Telephone | 3193632682 |
| Mailing Fax Number | 3193631473 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2011-12-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 34399 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0254680 | 05 |
| Street Address |
788 8TH AVE SE SUITE 100 |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52401-2107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210729 | Michelle Ann Donohue | Nurse Practitioner | 788 8th Ave Se, Suite 400, Cedar Rapids, IA 52401-2107 | 2015-11-23 |
| 1619383486 | Samuel Drahos | Nurse Practitioner | 788 8th Ave Se, Level 4 / Suite 400, Cedar Rapids, IA 52401-2107 | 2014-07-01 |
| 1518211192 | Anne K Nugent | Nurse Practitioner | 788 8th Ave Se, Ste 400, Cedar Rapids, IA 52401-2107 | 2012-11-03 |
| 1265784326 | Mercy Physician Associates, Inc | Family Medicine | 788 8th Ave Se, Ste 200, Cedar Rapids, IA 52401-2107 | 2012-10-12 |
| 1508147018 | Mercy Physician Associates, Inc | Family Medicine | 788 8th Ave Se, Suite 204, Cedar Rapids, IA 52401-2107 | 2011-08-30 |
| 1982921128 | Amandeep Singh Dhaliwal | Internal Medicine | 788 8th Ave Se, Suite 400, Cedar Rapids, IA 52401-2107 | 2010-04-28 |
| 1689878175 | Ryan Hollenbeck | Internal Medicine | 788 8th Ave Se, Cedar Rapids, IA 52401-2107 | 2007-06-11 |
| 1952510034 | Eduardo Arturo Celis Valdiviezo | Internal Medicine | 788 8th Ave Se, Suite 200, Cedar Rapids, IA 52401-2107 | 2007-05-22 |
| 1538378591 | Nora A Royer | Surgery | 788 8th Ave Se, Suite 300, Cedar Rapids, IA 52401-2107 | 2007-05-22 |
| 1972729960 | David S. Glassman | Internal Medicine | 788 8th Ave Se, Suite 400, Cedar Rapids, IA 52401-2107 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688516 | Sejal Patel | Marriage & Family Therapist | 819 5th Street, Cedar Rapids, IA 52401 | 2020-01-15 |
| 1992135693 | Mark Valliere | Internal Medicine | 947 14th Ave. Se, Community Health Free Clinic, Cedar Rapids, IA 52401 | 2013-11-15 |
| 1184988453 | Hassan Sajjad | Internal Medicine | 788 8th Ave Se Ste 200, Cedar Rapids, IA 52401 | 2012-07-01 |
| 1760755714 | Kashif Nadeem Chaudhry | Internal Medicine | 788 8th Avenue Se; Suite 400, Cedar Rapids, IA 52401 | 2012-02-21 |
| 1639332745 | Bhavya Akhauri | Internal Medicine | 788 8th Avenue Se, Level 3, Cedar Rapids, IA 52401 | 2008-07-08 |
| 1972663748 | Samuel B Thompson | Social Worker | 210 2nd St Suite 200, Cedar Rapids, IA 52401 | 2006-12-11 |
| 1477635811 | Melinda Schwarz Yehyawi | Physician Assistant | 947 14th Ave Se, Community Health Free Clinic, Cedar Rapids, IA 52401 | 2006-10-19 |
| 1154377463 | Anwar Ahmed | Internal Medicine | 543 7th Street Se, Cedar Rapids, IA 52401 | 2006-05-26 |
| 1780663005 | Mary Jo Henry | Nurse Practitioner | 115 8th St Ne, Cedar Rapids, IA 52401 | 2006-01-13 |
| 1437522869 | Kellie Colleen Alexander | Social Worker | 819 5th St Se, Cedar Rapids, IA 52401 | 2015-11-06 |
| Find all providers in zip 52401 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700224136 | Allison M Boardman | Obstetrics & Gynecology | 855 A Ave Ne Ste 200, Cedar Rapids, IA 52402-5064 | 2013-06-07 |
| 1205009149 | Lindsy Marie Alons | Obstetrics & Gynecology | 788 8th Ave Se Ste 100, Cedar Rapids, IA 52401-2106 | 2008-04-11 |
| 1801953096 | Cedar Rapids Ob-gyn Specialists, P.C. | Obstetrics & Gynecology | 1260 3rd Ave Se, Cedar Rapids, IA 52403-4010 | 2007-01-03 |
| 1144292350 | Robin Gail Brown | Obstetrics & Gynecology | 1953 1st Ave Se, Suite A2, Cedar Rapids, IA 52402 | 2006-02-02 |
| 1447244272 | Sidney J Smith | Obstetrics & Gynecology | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2005-09-08 |
| 1811991698 | Johanna J Abernathy | Obstetrics & Gynecology | 855 A Ave Ne, Cedar Rapids, IA 52402-5057 | 2005-06-09 |
| 1740630078 | Amy Smolucha | Obstetrics & Gynecology | 4251 River Center Ct Ne, Cedar Rapids, IA 52402-7549 | 2016-06-17 |
| 1104231620 | Melissa Deer | Obstetrics & Gynecology | 788 8th Ave Se Ste 100, Cedar Rapids, IA 52401 | 2014-06-23 |
| 1649609579 | Jeanne Chan | Obstetrics & Gynecology | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2013-11-01 |
| 1831457621 | Katherine Abtahi | Obstetrics & Gynecology | 4251 River Center Ct Ne, Cedar Rapids, IA 52402 | 2012-04-30 |
| Find all providers in CEDAR RAPIDS | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52401 |
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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.