Active NPI
Mohamad Hussein Bourji, M.D.
- Cardiovascular Disease Physician
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 81611
- Practice address
- 1594 Freedom Blvd Ste 100
Florence, SC 29505-6046 - Phone
- (803) 674-4787
- NPI assigned
- Jun 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 278647-1 | NY | |
| Hospitalist Physician | 208M00000X | 278647 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 81611 | SC | Primary |
Addresses
Primary practice location
1594 Freedom Blvd Ste 100
Florence, SC 29505-6046
Mailing address
PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 792-6200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbourji253812@direct.musc.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190116001811 | SC | Practitioner - Internal Medicine | 7416263066 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1344 Haile St
Camden, SC 29020-3076
Phone (803) 432-8426
1594 Freedom Blvd
Florence, SC 29505-6046
2829 E Hwy 76
Mullins, SC 29574-6035
Phone (803) 581-2800
342 W Main St
Kingstree, SC 29556-3235
Phone (843) 355-3621
506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290
805 Pamplico Hwy
Florence, SC 29505-6047
Hospital & facility affiliations
- Musc Health Florence Medical Center
- CCN 420117
- Musc Health Marion Medical Center
- McLeod Regional Medical Center-Pee Dee
- Carolina Pines Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278647-1 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Musc Community Physicians | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
805 Pamplico Hwy
Ste B230
Florence, SC 29505
Phone (843) 674-2955
1925 Hoffmeyer Rd
Florence, SC 29501
Phone (843) 661-4390
1594 Freedom Blvd
Ste 100
Florence, SC 29505
Phone (843) 674-4760
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Florence, SC
- NPI 1093076457
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1467709881
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
Hospital
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
Hospital
-
- General Acute Care Hospital
- Mullins, SC
- NPI 1447723945
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1336300045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603898",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282603898",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1594 FREEDOM BLVD STE 100",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295056046",
"telephone_number": "803-674-4787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURJI",
"first_name": "MOHAMAD",
"middle_name": "HUSSEIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-24",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "278647-1",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "278647",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "81611",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbourji253812@direct.musc.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1594 Freedom Blvd Ste 100",
"city": "Florence",
"state": "SC",
"country_code": "US",
"postal_code": "295056046",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.