Organization Active NPI

William a. Bourland, MD, PA

  • Surgery Physician
  • Boise, ID
National Provider Identifier
1972704963
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M5187 Issued in ID
Legal business name
WILLIAM A. BOURLAND, MD, PA
Practice address
222 N 2ND St
Suite 112
Boise, ID 83702-6109
Phone
(208) 947-0988
Fax
(208) 947-0989
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. William Abbott Bourland, MD
Title
President
Phone
(208) 947-0988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X M5187 ID Primary

Addresses

Primary practice location

222 N 2ND St
Suite 112
Boise, ID 83702-6109

Mailing address

222 N 2ND St
Suite 112
Boise, ID 83702-6109
Phone (208) 947-0988

National Provider Directory

National Provider Directory

Locations

222 N 2nd St
Ste 112
Boise, ID 83702
Phone (208) 947-0988

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1972704963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST",
            "address_2": "SUITE 112",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026109",
            "telephone_number": "208-947-0988",
            "fax_number": "208-947-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 2ND ST",
            "address_2": "SUITE 112",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026109",
            "telephone_number": "208-947-0988",
            "fax_number": "208-947-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. BOURLAND, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ABBOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-947-0988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "ID",
            "license": "M5187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.