Dr. Jacques J Bourgoignie , MD
Internal Medicine - Nephrology • Miami, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacques Bourgoignie has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jacques Bourgoignie, MD was a registered Internal Medicine - Nephrology practicing in Miami, FL. Throughout an active medical career spanning 11 years, Dr. Bourgoignie provided care at the practice location at 1611 NW 12TH AVE until profile deactivation on 2017-05-02.
Practice Location & Contact Primary Location
1611 Nw 12th Ave
Box 016960 M851
Miami, FL 331361005
Specialty Benchmarks & Practice Insights
Comparative analytics for Internal Medicine - Nephrology in Miami, FL
Practicing in Miami, FL (865 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207RN0300X
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dermatology
Doctor of Medicine (M.D.)
Psychiatry & Neurology - Child & Adolescent Psychiatry
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Dermatology
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 02, 2017
NPI status registered as active in NPPES database
Registered at 1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 331361005 (Tel: 3052434664)
Registered at 1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 331361005 (Tel: 3052434664)
Recorded as JACQUES BOURGOIGNIE, MD
Internal Medicine (License #ME30197 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1611 Nw 12th Ave, Box 016960 M851
Miami, FL 331361005
Phone: 3052434664
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