DR. THOMAS CAMPBELL BOURLAND DDS
NPI 1942472956
Dentist - Oral and Maxillofacial Surgery in Dallas, TX

Q: What is Thomas Bourland's NPI number?

The NPI number for Thomas Bourland is 1942472956. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Q: What is Thomas Bourland's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Thomas Bourland enrolled in Medicare?

No. Thomas Bourland has opted out of Medicare through January 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Thomas Bourland was last updated on March 31, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2008Opted out of Medicare · through Jan 26, 2028

3302 GASTON AVE, DALLAS, TX 75246(214) 828-8103(214) 828-8382 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Thomas Campbell Bourland Dds NPPES

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

DR. THOMAS CAMPBELL BOURLAND DDS (NPI 1942472956) is an individual oral and maxillofacial surgery provider in Dallas, Texas, licensed in Texas (22690) and active in the NPI registry since March 2008. He has opted out of Medicare through January 26, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1942472956

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. THOMAS CAMPBELL BOURLANDCredential: DDS

Location Address3302 GASTON AVEDallas, TX 75246-2013

Mailing AddressPo Box 660677Dallas, TX 75266-0677 · (214) 828-8103 · Fax (214) 828-8382

Phone(214) 828-8103

Fax(214) 828-8382

Sole ProprietorYes

Enumeration DateMarch 31, 2008

✔ NPI 1942472956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in TX · 22690

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3302 GASTON AVE, Dallas, TX 75246

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Thomas Campbell Bourland Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 26, 2012 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2012

Opt-Out In Effect ThroughJanuary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

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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.

BRIANNA TREY CALABRIA

Dentist (General Practice)