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CECIL M BOURNE M.D., NPI 1063414134

Internal Medicine in CORPUS CHRISTI, TX

Last Updated on : Mar 18,2016

About CECIL M BOURNE (NPI 1063414134)


CECIL M BOURNE is an Internal Medicine provider in CORPUS CHRISTI, United States. His medical specialization is Internal Medicine .

1063414134 is NPI number of CECIL M BOURNE.

CECIL M BOURNE's primary taxonomy code based on NPI Lookup is 207R00000X with license number d8154. This taxonomy code refers to Internal Medicine.

CECIL M BOURNE has more than 16 years of experience.

CECIL M BOURNE current practice location address is 1215 SANTA FE ST, CORPUS CHRISTI, TX. CECIL M BOURNE can be reached out via phone at 361-884-9900 and via fax at 361-884-9903 .

You can also correspond with CECIL M BOURNE through mail at mailing address 1215 SANTA FE ST, CORPUS CHRISTI, TX, United States. Mailing address contact number is 361-884-9900.

The enumeration date of CECIL M BOURNE is 02-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 6 years ago.

1063414134 NPI Information

Name CECIL M BOURNE
National Provider Id (NPI) 1063414134
Entity Type Individual
Gender M
Credential M.D.
Practice Address 1215 SANTA FE ST,
CORPUS CHRISTI, TX, United States
Practice Telephone 361-884-9900
Practice Fax Number 361-884-9903
Mailing Address 1215 SANTA FE ST ,
CORPUS CHRISTI, TX, United States
Mailing Telephone 361-884-9900
Mailing Fax Number 361-884-9903
Enumeration Date 02-Jun-2005
Last Updated Date 18-Mar-2016

CECIL M BOURNE (NPI 1063414134) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207R00000X Internal Medicine d8154 TX

CECIL M BOURNE (NPI 1063414134) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 207RG0300X Internal Medicine, Geriatric Medicine d8154 TX

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
00823K Other (non-Medicare) (01) TX Blue Cross
081210901 MEDICAID (05) TX
110184080 Other (non-Medicare) (01) TX Medicare Railroad
82780N MEDICARE PIN (08) TX
82N381 Other (non-Medicare) (01) TX BCBS
B21422 MEDICARE UPIN (02) TX

CECIL M BOURNE (NPI 1063414134) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1982292355 VELVA HINOJOSA Pharmacist 5425 S PADRE ISLAND DR,
CORPUS CHRISTI, TX, United States
01-Jan-2021
1801874763 DAVID JOHN SECORD Podiatrist, Foot & Ankle Surgery 5350 S STAPLES ST, SUITE 100
CORPUS CHRISTI, TX, United States
02-Jan-2006
1043377690 PATRICK ROBERT FLANNERY Occupational Therapist 7817 CHARLERO DRIVE,
CORPUS CHRISTI, TX, United States
02-Jan-2007
1134304785 REBECCA M DELANCEY Radiology, Diagnostic Radiology 4444 CORONA DR, SUITE 200
CORPUS CHRISTI, TX, United States
02-Jan-2008
1982092664 COURTNEY SAMU Speech-Language Pathologist, 4444 CORONA DR,
CORPUS CHRISTI, TX, United States
02-Jan-2015
1053884015 BRANDON A. HARRIS Specialist/Technologist, Other, Surgical Assistant 7613 TAYLAN LN,
CORPUS CHRISTI, TX, United States
02-Jan-2019
1861031320 ERICA LYNN ARELLANO Registered Nurse 4444 CORONA DR STE 107,
CORPUS CHRISTI, TX, United States
02-Jan-2020
1811536220 MARC IBANEZ MD PA Clinic/Center, Primary Care 5424 HOLLY RD,
CORPUS CHRISTI, TX, United States
02-Jan-2020
1174501837 DAVID F SIMON Nurse Anesthetist, Certified Registered 15117 AQUARIUS ST,
CORPUS CHRISTI, TX, United States
04-Jan-2006
1801943030 JOSHUA GENE GUTIERREZ Occupational Therapy Assistant 3726 SUNNYVILLE DR,
CORPUS CHRISTI, TX, United States
03-Jan-2007
1619152022 SALAH AHMED AWAD Radiologic Technologist PO BOX 60831,
CORPUS CHRISTI, TX, United States
03-Jan-2008
1154838779 MARIA GRACIELLA DIZON DEVERA-FERRER Physical Therapist, Geriatrics 6033 MAXIMUS DRIVE,
CORPUS CHRISTI, TX, United States
04-Jan-2018
1124616453 KENDRA JEAN COLSON Pharmacist 5817 PATTON ST STE 100,
CORPUS CHRISTI, TX, United States
03-Jan-2021
1134107782 SAMUEL CHRISTIAN HARTMAN Family Medicine 13725 NORTHWEST BLVD, SUITE 230
CORPUS CHRISTI, TX, United States
04-Jan-2006
1992852065 DANNY LAMAR HENDERSON Dentist, General Practice 5756 SOUTH STAPLES, SUITE A
CORPUS CHRISTI, TX, United States
04-Jan-2007
1467509570 MARGARET C. GANEY Chiropractor PO BOX 331323,
CORPUS CHRISTI, TX, United States
04-Jan-2007
1578610564 HOLDINGS OF SPINECARE, LLC Clinic/Center, Ambulatory Surgical 5734 SPOHN DRIVE, SUITE B
CORPUS CHRISTI, TX, United States
04-Jan-2007
1821145822 CYNTHIA MARIE SKORUPPA Physical Therapy Assistant 4729 CALALLEN DR,
CORPUS CHRISTI, TX, United States
04-Jan-2007
1043367048 KIMBERLY S DUGAS Occupational Therapy Assistant 7705 FALCON DR,
CORPUS CHRISTI, TX, United States
04-Jan-2007
1427105337 ROBERT R. GARCIA Home Health 5656 S STAPLES ST STE 300,
CORPUS CHRISTI, TX, United States
04-Jan-2007

FAQs

Whose NPI Number is 1063414134?

1063414134 is the NPI number of CECIL M BOURNE.

What is the specialty for CECIL M BOURNE?

The Specialty of CECIL M BOURNE is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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