PETER DANIEL BOURLAND PHYSICIAN ASSISTANT
NPI 1710510565
Physician Assistant in Raleigh, NC
About Peter Daniel Bourland Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER DANIEL BOURLAND PHYSICIAN ASSISTANT (NPI 1710510565) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-14932) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Peter Daniel Bourland Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johnston Health
Acute Care Hospitals · Smithfield, NCRex Hospital
Acute Care Hospitals · Raleigh, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
RALEIGH, NC 27607
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 Peter Bourland's NPI number?
The NPI number for Peter Bourland is 1710510565. It was assigned to this individual provider in the NPPES registry on February 20, 2020.
Where is Peter Bourland located?
Peter Bourland practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-2576.
What is Peter Bourland's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Peter Bourland enrolled in Medicare?
Yes. Peter Bourland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Peter Bourland accept?
Health plans from Blue Cross and Blue Shield of NC list Peter Bourland as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Peter Bourland affiliated with any hospitals?
According to CMS data, Peter Bourland is affiliated with Johnston Health and Rex Hospital.
When was this NPI record last updated?
The NPPES record for Peter Bourland was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Peter Daniel Bourland, PHYSICIAN ASSISTANT · NPI 1710510565
Physician Assistant physician in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since February 20, 2020.
## Identity
- **NPI:** 1710510565 (Entity type: Individual)
- **Enumerated:** February 20, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 0010-14932 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4420 LAKE BOONE TRL, Raleigh, NC 27607-7505
- **Phone:** (919) 784-2576 · **Fax:** (919) 784-2577
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710510565) · Data from the CMS NPPES public registry.