Cortney Parrish Bourkard, NP

Key facts

NPI

1750139762

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

1-077911 (AL)

Practice address

4370 W Main St
Dothan, AL 36305-1056

Phone

(334) 794-5000

Fax

(334) 615-7202

NPI assigned

May 7, 2024

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Wiregrass Clinic LLC Neurological Surgery Physician · Dothan, AL · NPI 1558657890
  Medicare reassignment Care Compare group NPD AL · FAMILY

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mid-South Home Health Agency, LLC Home Health Agency · Geneva, AL · NPI 1457380172
  Care Compare affiliation Home health agency
• Triad of Alabama LLC General Acute Care Hospital · Dothan, AL · NPI 1801830500
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wiregrass Clinic LLC (69 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency · Geneva, AL · CCN 017048
• Flowers Hospital Hospital · Dothan, AL · CCN 010055

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cortney.bourkard.1@3326.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 7, 2024.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1750139762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054000",
            "telephone_number": "334-794-5000",
            "fax_number": "334-615-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051056",
            "telephone_number": "334-794-5000",
            "fax_number": "334-615-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURKARD",
        "first_name": "CORTNEY",
        "middle_name": "PARRISH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-077911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Dothan, AL · Family Nurse Practitioner in Alabama