Cecil M. Bourne, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D8154 Issued in TX

Legal business name

CECIL M. BOURNE, MD

Practice address

3301 S Alameda St
Suite 306
Corpus Christi, TX 78411-1882

Phone

(361) 852-4200

Fax

(361) 852-5304

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cecil Martindale Bourne, MD, FACPNPI 1063414134

Title

Owner

Phone

(361) 852-4200

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Cecil M Bourne, M.D.

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1063414134
  NPD Authorized official

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1245419118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST",
            "address_2": "SUITE 306",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111882",
            "telephone_number": "361-852-4200",
            "fax_number": "361-852-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST",
            "address_2": "SUITE 306",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111882",
            "telephone_number": "361-852-4200",
            "fax_number": "361-852-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECIL M. BOURNE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "CECIL",
        "authorized_official_middle_name": "MARTINDALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-852-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D8154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081210901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110184080",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82N381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CC SNF TX Management LLC (San Rafael Nursing and Rehabilitation Center)
• Ccec Anesthesia Management LLC
• Cec Corpus ER Physicians PLLC
• Cec Parkdale ER Physicians PLLC
• Cecil a. Childers, M.D.,P.a.
• Pedro Daniel Cedillo
• Celia Reyes-Acuna, MD PLLC
• Cenikor Foundation
• Cenikor Foundation
• Michael Anthony Centeno, MD

• Internal Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.