Bart Bourland D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18681 Issued in TX

Legal business name

BART BOURLAND D.D.S., P.A.

Practice address

4601 Buffalo Gap Rd
Ste. D-1
Abilene, TX 79606-3375

Phone

(325) 695-3300

Fax

(325) 695-9899

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dru Bart Bourland, D.D.S.

Title

Owner

Phone

(325) 695-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598810558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD",
            "address_2": "STE. D-1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063375",
            "telephone_number": "325-695-3300",
            "fax_number": "325-695-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD",
            "address_2": "STE. D-1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063375",
            "telephone_number": "325-695-3300",
            "fax_number": "325-695-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BART BOURLAND D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "DRU",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-695-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1003812470",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin R.G Baron, RN,CCRN
• Philip Ralph Barone, D.D.S.
• Rachael Michelle Barr
• Michael S Barris, MD
• Wanda Barry, CRNA
• Emily Elizabeth Bartley, RD, LD.
• Emma Rae Barton
• Kathryn Joann Barton, RN, FNP-C
• Heather J Basham
• Michaela Basquez

• General Practice Dentistry in Abilene, TX
• Providers in Abilene, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.