Fadi M B Bouri, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

FT597 Issued in KY

Practice address

225 Abraham Flexner Way Ste 850
Louisville, KY 40202-1858

Phone

(502) 562-0312

Fax

(502) 562-0326

NPI assigned

Jul 29, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1316591357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY STE 850",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021858",
            "telephone_number": "502-562-0312",
            "fax_number": "502-562-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ABRAHAM FLEXNER WAY STE 850",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021858",
            "telephone_number": "502-562-0312",
            "fax_number": "502-562-0326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Abraham Flexner Way Ste 850",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021858",
            "country_code": "US",
            "telephone_number": "502-562-0312",
            "fax_number": "502-562-0326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURI",
        "first_name": "FADI",
        "middle_name": "M B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "FT597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "FT597",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larytha Bouakham, RBT
• Kelly Boucher, M.S., CCC-SLP
• Alex Boudreau, PT, DPT
• Abigail Boudwin, COTA/L
• Raleigh L Boulware
• Laura Bourn, PH.D.
• Bourne Chiropractic LLC
• Andrew J Bourne, D.C.
• Jacques Bourque
• Sheritha Bousso

• Orthopaedic Surgery Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Orthopaedic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.