Individual
DR. JOHN ELLIOT BOURGEOIS
Active
Individual
DR. JOHN ELLIOT BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25883
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000282479
UNISON HEALTH PLAN OF SC
SC
01
—
0841480
UNITED HEALTHCARE
NC
01
—
100706
WELLNESS
NC
01
—
10482
KANAWHA
NC
01
—
10610
BCBS MEDPOINT
NC
01
—
11125
WELLPATH
NC
01
—
141004
COVENTRY
NC
01
—
1533931002
CIGNA
NC
01
—
17059
BCBS
NC
01
—
180019848
RAILROAD MEDICARE
—
01
—
1963
DOCTORS HEALTH PLAN
NC
01
—
20094032
SELECT HEALTH OF SC/FIRST CHOICE
SC
01
—
21170
MEDCOST
NC
01
—
376565
MAMSI
NC
01
—
4068491
AETNA
NC
01
—
6872
PARTNERS
NC
01
—
777013
WELLCARE
SC
01
—
80783
CHCCARES OF SC
SC
05
—
8917059
—
NC
05
—
N25883
—
SC
Enumeration date
05/04/2006
Last updated
10/16/2015
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