Keith a. Bourgeois, M.D., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

KEITH A. BOURGEOIS, M.D., P.A.

Practice address

1315 St Joseph Pkwy
Suite 1601
Houston, TX 77002-8233

Phone

(713) 650-0391

Fax

(713) 650-0395

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Keith A Bourgeois, M.D.NPI 1457312183

Title

Physician

Phone

(713) 650-0931

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Downtown Eye Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Alan Bourgeois, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Houston, TX
  • NPI 1457312183
  Medicare reassignment Care Compare group NPD Authorized official
• John Whitesell Miller, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Houston, TX
  • NPI 1578524286
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1164645685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 1601",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-650-0391",
            "fax_number": "713-650-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 1601",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-650-0391",
            "fax_number": "713-650-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. BOURGEOIS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-650-0931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P085170J07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahuva Keilson, LMSW
• Heather Louise Keir, MBCHB
• Colleen Marie Keiser, LPC
• Lisa Rozita Keiser, CNP
• Khady Keita, DR.
• Keith Aldinger MD
• Keith Martel Taylor
• Carmen M Keith, RN, MSN, FNP
• Doris Keith
• Emanuel Keith III

• Ophthalmology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.