NPI 1871174508 · live from the CMS NPI Registry
Andre Bourg, MD
Anesthesiology in Birmingham, AL. National Provider Identifier 1871174508, active.
NPI record
| NPI | 1871174508 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 625 19th Street South, Birmingham, AL 35249 |
| Practice phone | 205-934-4696 |
| Enumerated | April 15, 2021 |
| Last updated | June 13, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 94155 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.