Active NPI
Robert John Bourbonnais, CRNA
- Certified Registered Nurse Anesthetist
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6051
- Practice address
- 3601 W. 13 Mile Rd
Royal Oak, MI 48073-6769 - Phone
- (248) 898-5000
- NPI assigned
- Feb 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704207523 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 6051 | NC | Primary |
Addresses
Primary practice location
3601 W. 13 Mile Rd
Royal Oak, MI 48073-6769
Mailing address
3601 W. 13 Mile Rd
Royal Oak, MI 48073-6769
Phone (248) 898-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.22 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309922 | NC | MD | Driver |
| 6051 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Anesthesiology | Current | Accepting new patients |
| Carolina Anesthesia Associates PA | Anesthesiology | Current | Accepting new patients |
| Novant Health New Hanover Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| J. Arthur Dosher Memorial Hospital | Current | Accepting new patients | |
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| J. Arthur Dosher Memorial Hospital | Current | Accepting new patients | |
| Carolina Regional Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Novi Anesthesia Services PLC | Anesthesiology | Past | Accepting new patients |
Locations
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544
15830 Ballantyne Medical Pl
Ste 175
Charlotte, NC 28277
Phone (704) 323-7633
2015 Randolph Rd
Ste 208
Charlotte, NC 28207
Phone (704) 602-6544
3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000
242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673
13808 Professional Center Dr
Huntersville, NC 28078
Phone (704) 717-5549
924 N Howe St
Southport, NC 28461
Phone (910) 457-3800
821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827
5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Statesville, NC
- NPI 1699723791
-
- Certified Registered Nurse Anesthetist
- Pinehurst, NC
- NPI 1891072609
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1619124401
-
- Gastroenterology Physician
- Huntersville, NC
- NPI 1730100801
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1851548655
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- General Acute Care Hospital
- Southport, NC
- NPI 1275660342
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
-
- Anesthesiology Physician
- Novi, MI
- NPI 1487830345
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1669517736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W. 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736769",
"telephone_number": "248-898-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W. 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736769",
"telephone_number": "248-898-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURBONNAIS",
"first_name": "ROBERT",
"middle_name": "JOHN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704207523",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.