Jamieson M Bourque, M.D.
Internal Medicine, Cardiovascular Disease in Charlottesville, VA. Individual provider (NPI-1).
NPI number1487866331
StatusActive
Last updated in NPPESSep 19, 2026
Details
- NPI
- 1487866331
- Entity type
- Individual (NPI-1)
- Name
- Jamieson M Bourque
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2007
- Certification date
- Sep 19, 2026
- Last updated
- Sep 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 0101241216 | VA | Yes |
| 208M00000X | Hospitalist | 0101241216 | VA |
Practice location
500 Ray C Hunt DrCharlottesville, VA 22903-2981
Phone 434-243-1000 · Fax 434-244-7551
Mailing address
Po Box 749112Atlanta, GA 30374-9112
Other practice locations
500 J Clyde Morris Blvd Ste Annex1
Newport News, VA 23601-1929
Newport News, VA 23601-1929
Phone 757-594-2074
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