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Contact Information

AUSTIN C BOURGEOIS, MD
2006 FRANKLIN ST SE
SUITE 200
HUNTSVILLE, AL35801-4551
 Phone: 256-539-0457
 Fax: 256-539-5827
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for AUSTIN C BOURGEOIS · (Male)

NPI # 1790002590
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2010
Last updated 02/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 34979
  • TN License # 55127
  • AL Medicaid 186258
  • AL Medicaid 186259
  • AL Medicaid 186261
  • AL Medicaid 186421
  • AL Medicaid 186919
  • AL Medicaid 187937
  • AL Medicaid 212140
  • AL Medicaid 240050
  • AL Medicaid 244137
  • AL Medicaid 244139
  • AL Medicaid 244356
  • AL Medicaid 244622
  • AL Medicaid 245294
  • AL Medicaid 245583
  • Other 13833658 CAQH
Hospital affiliation(s)
  • ATHENS-LIMESTONE HOSPITAL - (Acute Care)
    700 WEST MARKET STREET
    ATHENS, AL 35611
  • CRESTWOOD MEDICAL CENTER - (Acute Care)
    ONE HOSPITAL DR SE
    HUNTSVILLE, AL 35801
  • HUNTSVILLE HOSPITAL - (Acute Care)
    101 SIVLEY RD
    HUNTSVILLE, AL 35801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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