Eric C Bourhill, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101-042471 Issued in VA

Practice address

6675 Booker T Washington Hwy
Wirtz, VA 24184-4128

Phone

(540) 721-2118

Fax

(540) 721-6448

NPI assigned

Nov 10, 2005

Last updated

Nov 6, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medexpress Urgent Care, PC - Virginia

  dba MedExpress Urgent Care - Bluefield

  • Urgent Care Clinic/Center
  • Bluefield, VA
  • NPI 1215219878

  Family Medicine

  Medicare reassignment NPD
• Medexpress Urgent Care, PC - Virginia

  • Urgent Care Clinic/Center
  • Richmond, VA
  • NPI 1225563679

  Family Medicine

  NPD
• Medexpress Urgent Care, PC - Virginia

  dba MedExpress Urgent Care - Salem

  • Urgent Care Clinic/Center
  • Salem, VA
  • NPI 1437420320
  NPD
• Carilion Healthcare Corporation

  dba Bridgewater College Student Health Center

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1447206370
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1881675494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 DUGSPUR RD",
            "city": "CALLAWAY",
            "state": "VA",
            "postal_code": "240673009",
            "telephone_number": "540-483-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 BOOKER T WASHINGTON HWY",
            "city": "WIRTZ",
            "state": "VA",
            "postal_code": "241844128",
            "telephone_number": "540-721-2118",
            "fax_number": "540-721-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURHILL",
        "first_name": "ERIC",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101-042471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5623707",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 5 Star Elite Services. LLC
• Above the Storm, LLC
• Stacy Keen Altice, PHARMD
• Burnt Chimney Family Medicine, P.C.
• George H Chaconas, MD
• Joseph Michael Chaudet, MSPT COMT
• Lauren Delp, MS OTR/L
• Family Preservation Services, Inc

• Family Medicine Physician in Wirtz, VA
• Providers in Wirtz, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.