IndividualActive
Andre Bourg, MD
NPI 1871174508 · Anesthesiology Physician · Birmingham, AL
Provider details
- NPI number
- 1871174508
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 94155 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
625 19th Street South
Birmingham, AL 35249-1900
Phone: (205) 934-4696
Approximate (ZIP-level) locationGet directions
Mailing address
625 19th Street South
Birmingham, AL 35249-1900
Additional practice locations (1)
- 1325 Spring StGreenwood, SC 29646-3860Phone: (864) 725-4111
Registry dates
- Enumerated
- 2021-04-15
- Last updated
- 2025-06-13
- Certified
- 2025-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.