Brian Christian Bourne, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00716000 Issued in NJ

Practice address

140 48TH St .
Union City, NJ 07087

Phone

(201) 271-0800

Fax

(201) 271-0808

NPI assigned

Nov 1, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Attain Physical Therapy

  • Physical Therapist
  • Shrewsbury, NJ
  • NPI 1609406438
  Medicare reassignment NPD
• Kdl19 LLC

  dba Hudson County Health Care

  • Multi-Specialty Clinic/Center
  • Jersey City, NJ
  • NPI 1568204394

  Physical Therapist

  Medicare reassignment NPD
• First Step Solutions Inc

  dba Personal Care Professionals

  • Physical Therapist
  • Edgewater, NJ
  • NPI 1316172877
  NPD (past)
• Kessler Institute for Rehabilitation, Inc.

  • Rehabilitation Hospital
  • Marlton, NJ
  • NPI 1528512266
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508943226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 48TH ST .",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-271-0800",
            "fax_number": "201-271-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 48TH ST .",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-271-0800",
            "fax_number": "201-271-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "BRIAN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00716000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Goose Pharmacy
• Blue Goose Pharmacy Group LLC (Americas Pharmacy)
• Sofia Alexandra Boloix-Alarcon, LCSW
• Gabrielle Joi Bonneau, LSW
• Bonocore Chiropractic & Associates, P.C.
• Cassaundra N Bracken, LCSW
• Vinod S Brahmbhatt, DDS
• Broadway Optics Vision
• Brianne Morris Brown, OTR
• Nicole Lauren Brozyna, OT

• Physical Therapist in Union City, NJ
• Providers in Union City, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.