DR. RICHARD OLIVIER BOURGUILLON MD
NPI 1811630700
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since April 18, 2022PECOS Enrolled
203 LOTHROP ST STE 300, PITTSBURGH, PA 15213(412) 647-2100 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Richard Olivier Bourguillon Md NPPES

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

DR. RICHARD OLIVIER BOURGUILLON MD (NPI 1811630700) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811630700
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RICHARD OLIVIER BOURGUILLONCredential: MD
Location Address203 LOTHROP ST STE 300Pittsburgh, PA 15213-2548
Mailing Address2144 Peachtree Rd Nw Apt 822Atlanta, GA 30309-1641 · (678) 887-9095
Sole ProprietorYes
Enumeration DateApril 18, 2022
NPPES CertifiedApril 18, 2022
NPI 1811630700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

203 LOTHROP ST STE 300, Pittsburgh, PA 15213

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Richard Olivier Bourguillon 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.

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.

Student in an Organized Health Care Education/Training Program
203 LOTHROP ST STE 300
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
203 LOTHROP ST STE 300
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
203 LOTHROP ST STE 300
PITTSBURGH, PA 15213
Physician Assistant
203 LOTHROP ST STE 300
PITTSBURGH, PA 15213
Speech-Language Pathologist
203 LOTHROP ST STE 300
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
203 LOTHROP ST STE 300
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
203 LOTHROP ST STE 300
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
203 LOTHROP ST STE 300
PITTSBURGH, PA 15213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811630700, enumerated as an "individual" on April 18, 2022.

The provider is located at 203 LOTHROP ST STE 300 PITTSBURGH, PA 15213 and the phone number is (412) 647-2100.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.