Active NPI
Eric Christian Bourgeois, DPT
- Physical Therapist
- Goldsboro, NC
National Provider Identifier
1528490604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14381
- Practice address
- 1101A Gracie PL
Goldsboro, NC 27534 - Phone
- (919) 734-9644
- NPI assigned
- Jul 31, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P14381 | NC | Primary |
Addresses
Primary practice location
1101A Gracie PL
Goldsboro, NC 27534
Mailing address
2503 Wayne Memorial Dr
Goldsboro, NC 27534-9401
Phone (919) 734-1311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Gracie PL
A
Goldsboro, NC 27534-2260
Phone (919) 734-9644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P14381 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motionworks Manual Physical Therapy, Incorporated | Current | Accepting new patients | |
| Goldsboro Physical Therapy & Wellness | Physical Therapist | Past | Accepting new patients |
Locations
1101A Gracie Pl
Goldsboro, NC 27534
Phone (919) 734-9644
1101 Gracie Pl
#A
Goldsboro, NC 27534
Phone (919) 734-9644
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Goldsboro, NC
- NPI 1861471922
-
- Physical Therapist
- Goldsboro, NC
- NPI 1740213321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1528490604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2503 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349401",
"telephone_number": "919-734-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101A GRACIE PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "27534",
"telephone_number": "919-734-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURGEOIS",
"first_name": "ERIC",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-31",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.