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

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: August 30, 2026.

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 and is a graduate of Stanford University School Of Medicine (2019).

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
Medical School CMSStanford University School Of MedicineGraduated 2019
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).

PECOS PAC ID7911235635
PECOS Enrollment IDI20260624003131
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.
Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
New York County (212) 305-5020
CHARLES D RESOR
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2913
MR. CALVIN KAILUN LEE NP
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0914
DI FAN CONEYBEARE M.D.
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
New York County (760) 808-2557
JONATHAN LE PHARM.D.
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 342-8645
ASHLEE A CAMPBELL
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100
DR. EMILY SPIERA MD, MPH
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6262
SAAGAR MADHAV PANDE
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Boursiquot's NPI number?

The NPI number for Brian Boursiquot is 1578026167. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Brian Boursiquot located?

Brian Boursiquot practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-6262.

What is Brian Boursiquot's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Brian Boursiquot enrolled in Medicare?

Yes. Brian Boursiquot is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Boursiquot was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.