Dr. Thomas Bourke , MD
General Practice • Saint Louis, MO
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. Thomas Bourke has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Thomas Bourke, MD was a registered General Practice practicing in Saint Louis, MO. Throughout an active medical career spanning 18 years, Dr. Bourke provided care at the practice location at 615 S NEW BALLAS RD until profile deactivation on 2024-03-20.
Practice Location & Contact Primary Location
615 S New Ballas Rd
Saint Louis, MO 631418221
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Saint Louis, MO
Practicing in Saint Louis, MO (221 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Osteopathic Medicine (D.O.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 20, 2024
NPI status registered as active in NPPES database
Registered at 615 S NEW BALLAS RD, SAINT LOUIS, MO 631418221 (Tel: 3142516031)
Registered at 555 N NEW BALLAS RD, SUITE 150, SAINT LOUIS, MO 631416825 (Tel: 3149918200)
Recorded as THOMAS BOURKE, M.D.
General Practice (License #29534 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
555 N New Ballas Rd, Suite 150
Saint Louis, MO 631416825
Phone: 3149918200
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