James Allen Bourg, D.C.
Chiropractor in Greer, SC. Individual provider (NPI-1).
NPI number1295934909
StatusActive
Last updated in NPPESJul 11, 2018
Details
- NPI
- 1295934909
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Allen Bourg
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2007
- Last updated
- Jul 11, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 926 | SC | Yes |
Practice location
30 Parkway Commons WayGreer, SC 29650-5213
Phone 864-292-3291 · Fax 864-655-4602
Mailing address
30 Parkway Commons WayGreer, SC 29650
Phone 864-292-3291 · Fax 864-655-4602
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