# CHRISTOPHER SULLIVAN BOURKE JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225456361
- **Gender:** Man
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0103301260 | VA | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E5421 | CA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC006559 | PA | — |

## Other

- **Enumeration date:** 04/05/2014
- **Last updated:** 08/25/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1225456361 | — | VA |
| 05 | — | 30015889120002 | — | VA |