What is Larry Bourrage's NPI number?

Larry Bourrage's National Provider Identifier (NPI) is 1528829512, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Larry Bourrage's specialty?

Larry Bourrage is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Larry Bourrage located?

Larry Bourrage's practice location on file with NPPES is 12485 Schamberville Ln, Collinsville, MS 39325-9195.

What is Larry Bourrage's phone number?

The practice phone number listed in the NPPES registry for Larry Bourrage is (601) 480-4754.

Is Larry Bourrage's NPI active?

Yes — Larry Bourrage's NPI (1528829512) is active in the NPPES registry as of the last update on 2024-01-17.

IndividualActive

Larry Bourrage, RN

NPI 1528829512 · Registered Nurse · Collinsville, MS

Larry Bourrage, RN is a Registered Nurse provider in Collinsville, MS (NPI 1528829512).

Provider details

NPI number: 1528829512
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Credential: RN
Sex: Male
Sole proprietor: No
License: R890304 (MS)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense R890304 (MS)
Nursing Service Providers

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12485 Schamberville Ln

Collinsville, MS 39325-9195

Phone: (601) 480-4754

Street-level locationGet directions

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Mailing address