BRIAN CHARLES BOURSIQUOT MD
NPI 1578026167
Internal Medicine - Cardiovascular Disease in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Active since April 10, 2019PECOS Enrolled

622 W 168TH ST, NEW YORK, NY 10032(212) 305-6262 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Brian Charles Boursiquot Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN CHARLES BOURSIQUOT MD (NPI 1578026167) is an individual cardiovascular disease provider in New York, New York, licensed in New York (317526-01) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578026167

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameBRIAN CHARLES BOURSIQUOTCredential: MD

Location Address622 W 168TH STNew York, NY 10032-3720

Mailing Address622 W 168th StNew York, NY 10032-3720 · (212) 305-6262

Phone(212) 305-6262

Sole ProprietorNo

Enumeration DateApril 10, 2019

Last NPPES UpdateJune 12, 2026

NPPES CertifiedJune 12, 2026

✔ NPI 1578026167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NY · 317526-01

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

622 W 168TH ST, New York, NY 10032

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Charles Boursiquot Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.