Bobby Bourland, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00552 Issued in TX

Practice address

7692 W Eldorado Pkwy
McKinney, TX 75070-5652

Phone

(972) 562-8388

Fax

(972) 540-2219

NPI assigned

Sep 11, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• B P Clinics of Texas PA

  dba McKinney Family Medicine

  • Family Medicine Physician
  • McKinney, TX
  • NPI 1619197928
  NPD (past)
• BP Clinics Management of Texas, LLC

  • Contractor
  • McKinney, TX
  • NPI 1295991909
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1972752178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7692 W ELDORADO PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705652",
            "telephone_number": "972-562-8388",
            "fax_number": "972-540-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7692 W ELDORADO PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750705652",
            "telephone_number": "972-562-8388",
            "fax_number": "972-540-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURLAND",
        "first_name": "BOBBY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA00552",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Bosire
• Megan Elise Bosler, LCSW
• Alicia Christine Bostick, PTA
• Nithphaphone Tracy Bounsing, NP
• Jennifer Bourgeois, PHARMD
• Emily Bowers
• Indie Underwood Bowman, M.C.D.,CCC-SLP
• Lauren Elizabeth Bowman, PA-C
• Heather Holly Boyd, PA
• Elizabeth L Boyer, LMFT

• Medical Physician Assistant in McKinney, TX
• Providers in McKinney, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.