Erick Bournigal, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

33280 Issued in GA

Practice address

1111 Glynco Parkway
Suite 30
Brunswick, GA 31525-7930

Phone

(912) 267-1026

Fax

(912) 265-5415

NPI assigned

Jul 29, 2006

Last updated

Mar 7, 2023By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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

Rheumatology

Education

Ohio State University College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146
• Bacon County Hospital Hospital, Alma, GA, CCN 111327
• Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: erick.bournigal.p92@direct.aara1.nextgenshare.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.

• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402
  Medicare reassignment Care Compare group

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

• Bacon County Health Services, Inc.

  • Critical Access Hospital
  • Alma, GA
  • NPI 1629185285
  Care Compare affiliation
• Hospital Authority of Wayne County, Georgia

  dba wayne memorial hospital

  • General Acute Care Hospital
  • Jesup, GA
  • NPI 1770578999
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Camden Campus

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326
  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275548547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD",
            "address_2": "SUITE 280",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204784",
            "telephone_number": "912-466-7311",
            "fax_number": "912-466-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PARKWAY",
            "address_2": "SUITE 30",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257930",
            "telephone_number": "912-267-1026",
            "fax_number": "912-265-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNIGAL",
        "first_name": "ERICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "33280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00435773B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110181970",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Grant Bonds
• Matthew R Boothby
• Charity Christine Boree, MSN, APRN, FNP-C
• Richard Neal Boswell, MD
• Kristen Marie Boucher, D.C.
• Christopher John Bovinet, D.O.
• Paul Allen Bowen II, MD
• Teah Bowen, RN SANE
• Jason Bowman, MD
• Brian C Boyd, PT

• Rheumatology Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Rheumatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.