Robert Kemp Bourquein, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13438 Issued in TX

Practice address

1031 Hwy 16 S
Fredericksburg, TX 78624-4472

Phone

(830) 990-0333

Fax

(830) 990-9200

NPI assigned

Jul 22, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1548260334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 HWY 16 S",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244472",
            "telephone_number": "830-990-0333",
            "fax_number": "830-990-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 HWY 16 S",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244472",
            "telephone_number": "830-990-0333",
            "fax_number": "830-990-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURQUEIN",
        "first_name": "ROBERT",
        "middle_name": "KEMP",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "13438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Blaker, O.D.
• Brook Elizabeth Bodenhamer, LCSW, LCDC
• Derrick Joseph Borecky, MD
• Bill Edward Borron, RPH
• Bourquein LLC
• Andrew N Bowser, MD
• BP Eye Care Centers (TSO Fredericksburg)
• Brandon Blaker O D P C (Hill Country Vision Center)
• Andrea C Bray, M.D.
• Jennifer Marie Braziel, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.