Andre Bourg, MD

Anesthesiology Physician · Birmingham, AL

Individual Active NPI

NPI number 1871174508

Practice location

625 19TH Street South
Birmingham, AL 35249-1900
Phone
(205) 934-4696

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NPI record

NPI
1871174508
Entity type
Individual (Type 1)
Enumeration date
April 15, 2021
Last updated
June 13, 2025
Certified
June 13, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiology Physician Primary 207L00000X 94155 SC

Other practice locations (1)

  • 1325 Spring St, Greenwood, SC 29646-3860 · (864) 725-4111

About Dr. Bourg

Andre Bourg, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiology Physician (code 207L00000X). The practice location is 625 19TH Street South, Birmingham, AL 35249-1900. The NPI number 1871174508 was assigned on April 15, 2021 and the record was last updated on June 13, 2025.

Dr. Bourg lists a license in the registry: #94155 (SC) for Anesthesiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Andre Bourg, MD?

The NPI number is 1871174508.

What is the phone number of Dr. Bourg?

The phone number listed for the practice location is (205) 934-4696.

Where is Dr. Bourg located?

625 19TH Street South, Birmingham, AL 35249-1900.

What is the taxonomy code for Dr. Bourg?

The primary taxonomy code is 207L00000X – Anesthesiology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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