Andrew Elliott Bourne, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

125-051911 Issued in IL

Practice address

455 N Sioux Point Rd
Dakota Dunes, SD 57049-5327

Phone

(605) 217-7000

Fax

(605) 217-7015

NPI assigned

May 3, 2007

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

Medicare fee-for-service enrollment

Enrolled in IA, SD2 enrollments

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 2

Specialty

Urology

Education

University of Iowa, RJ & L Carver College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Siouxland Urology Associates PCGroup PAC ID 1254220742, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Horn Memorial Hospital Hospital, Ida Grove, IA, CCN 161354
• Manning Regional Healthcare Center Hospital, Manning, IA, CCN 161332
• Dunes Surgical Hospital Hospital, Dakota Dunes, SD, CCN 430089
• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
• Crawford County Memorial Hospital Hospital, Denison, IA, CCN 161369

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrewbourne@suapc.medalliesdirect.net
• Direct secure messaging: abourne128158@direct.unitypoint.org

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.

• Sanford Health Network

  • Critical Access Hospital
  • Vermillion, SD
  • NPI 1790721280

  SD

  Medicare reassignment Care Compare group
• Siouxland Urology Associates PC

  • Urology Physician
  • Dakota Dunes, SD
  • NPI 1366462814

  IA, SD

  Medicare reassignment Care Compare group
• Ida County Iowa Community Hospital

  • Emergency Medicine Physician
  • Ida Grove, IA
  • NPI 1053327775

  IA

  Medicare reassignment NPD
• Ida County Iowa Community Hospital

  • Critical Access Hospital
  • Ida Grove, IA
  • NPI 1265461180

  IA

  Medicare reassignment NPD
• Manning Regional Healthcare Center

  • Family Medicine Physician
  • Manning, IA
  • NPI 1306969175

  IA

  Medicare reassignment NPD
• Manning Regional Healthcare Center

  • Critical Access Hospital
  • Manning, IA
  • NPI 1467509141

  IA

  Medicare reassignment NPD
• Sanford Health Network

  • Family Medicine Physician
  • Vermillion, SD
  • NPI 1013921733
  NPD
• Ida County Iowa Community Hospital

  • Rural Health Clinic/Center
  • Holstein, IA
  • NPI 1689249922
  NPD
• Ida County Iowa Community Hospital

  • Family Medicine Physician
  • Ida Grove, IA
  • NPI 1962635615
  NPD
• Manning Regional Healthcare Center

  • Rural Health Clinic/Center
  • Manning, IA
  • NPI 1528362910
  NPD
• Sanford Health Network

  • Rural Health Clinic/Center
  • Canby, MN
  • NPI 1437243607
  NPD
• Sanford Health Network

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD

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

• Siouxland Surgery Center Limited Liability Partnership

  • Special Hospital
  • Dakota Dunes, SD
  • NPI 1093714073

  Hospital

  Care Compare affiliation
• Crawford County Memorial Hospital

  • Critical Access Hospital
  • Denison, IA
  • NPI 1578555116

  Hospital

  Care Compare affiliation
• Ida County Iowa Community Hospital

  • Critical Access Hospital
  • Ida Grove, IA
  • NPI 1265461180

  Hospital

  Care Compare affiliation
• Manning Regional Healthcare Center

  • Critical Access Hospital
  • Manning, IA
  • NPI 1467509141

  Hospital

  Care Compare affiliation
• Northwest Iowa Hospital Corporation

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1346462702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495327",
            "telephone_number": "605-217-7000",
            "fax_number": "605-217-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N SIOUX POINT RD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495327",
            "telephone_number": "605-217-7000",
            "fax_number": "605-217-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "ANDREW",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125-051911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bligh, MD
• Davis Bloemendaal, PA-C
• Michael Dale Bobier, PA
• Erica Bonstead, ATHLETIC TRAINER
• Erin Bonstead, TCADC
• Jessica Lee Bowman, NP-C
• Craig Allan Brandenburger, MA, ATC, LAT
• Jay Brannan, RN
• Sarah M Brend, PA-C
• Jenna Kittler Brewer

• All providers in Dakota Dunes, SD
• Urology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.