Individual
DR. BRYAN THOMAS BOURDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2206
(415) 476-1000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
286471
MA
207R00000X
Internal Medicine Physician
Primary
A202521
CA
390200000X
Student in an Organized Health Care Education/Training Program
276390
MA
Other
Enumeration date
06/29/2018
Last updated
05/04/2025
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