DR. STEVEN BOURLA M.D. NPI 1649216367

NPI Information

NPI: 1649216367
Provider Name: DR. STEVEN BOURLA, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
789 OLD COUNTRY RD
PLAINVIEW, NY
ZIP 11803
Phone: (516) 433-3600
Get Directions

DR. Steven Bourla, M.D. is a nephrology internal medicine in Plainview, NY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Steven Bourla, M.D. NPI is 1649216367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

789 OLD COUNTRY RD
PLAINVIEW, NY
ZIP 11803-907
Phone: (516) 433-3600
Fax: (516) 433-9490

The NPI 1649216367 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 2/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		128336	NEW YORK	No
2	207RN0300X	Internal Medicine	Nephrology	128336	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	56A031	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	1C4996	OTHER	NEW YORK	HEALTHNET
3	00887036	MEDICAID	NEW YORK
4	B16453	MEDICARE UPIN	NEW YORK
5	AS530	OTHER	NEW YORK	OXFORD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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