Gregory Bourgeois, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD32223 Issued in AL

Practice address

1022 1St St N Ste 201
Alabaster, AL 35007-8724

Phone

(205) 621-9500

Fax

(205) 621-9507

NPI assigned

Jun 9, 2009

Last updated

Jan 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shelby Dermatology PCGroup PAC ID 5395754725, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016

Merit-based Incentive Payment System (MIPS)

Final score

72.99 of 100Reported as group

Quality

71.46

Improvement activities

40

Cost

48.03

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: greg@shelby1251.srs-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shelby Dermatology, PC

  • Specialist
  • Alabaster, AL
  • NPI 1740375856
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BBH SBMC, LLC

  dba Baptist Health Shelby Hospital

  • General Acute Care Hospital
  • Alabaster, AL
  • NPI 1811341167
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1073749677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N STE 201",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078724",
            "telephone_number": "205-621-9500",
            "fax_number": "205-621-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N STE 201",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078724",
            "telephone_number": "205-621-9500",
            "fax_number": "205-621-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD32223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert McGowin Blake, NMT, LMT, NCTMB
• Christopher Haydn Blevins, M.ED, NCC
• Deidra A. Bolton, NP
• Michael John Boohaker, D.M.D.
• Charles Michael Bordenca, DMD
• D'Ariel Denise Boykin, M.D.
• Greg Bradford, PHARM D
• Miles Bragdon-Hall
• Kimberly Kopf Brand, PHARMD
• Mary Katherine Brandler, NP-C

• Dermatology Physician in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.