Ronald E Bousman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00012865 Issued in WA

Practice address

810 Saint Vincents Dr
St. Vincert'S Health System
Birmingham, AL 35205-1601

Phone

(205) 930-2346

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1770512014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 ST. VINCENT'S DRIVE",
            "address_2": "ST. VINCENT'S HEALTH SYSTEM",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 SAINT VINCENTS DR",
            "address_2": "ST. VINCERT'S HEALTH SYSTEM",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051601",
            "telephone_number": "205-930-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSMAN",
        "first_name": "RONALD",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00012865",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "30596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Bourg, MD
• Robert C Bourge, MD
• Sydearia Shaylee Bouris
• Garrett Austin Bourne, MD
• Sarah Bouslog, MD
• Carolyn A. Boutwell, CRNA
• Therese Bouvier, LPC
• Shelby Leanne Bowden, CRNP
• Alexis A Bowen, MD
• Anna Bowen, PHARMD

• Family Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.