| Dr James B Bour, MD | |
|
601 John St, Suite M206c, Kalamazoo, MI 49007-5341 | |
| (269) 349-9745 | |
| (269) 488-8305 |
| Full Name | Dr James B Bour |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 601 John St, Kalamazoo, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134161268 | NPI | - | NPPES |
| 4348838 | Other | AETNA PIN | |
| 3107744-10 | Medicaid | MI | |
| 3403900691 | Other | MI | BCBS IND PIN |
| 112345 | Other | GREAT LAKES HLTH PLN | |
| 340C910480 | Other | MI | BCBS GRP PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 4301405948 (Michigan) | Primary |
| Entity Name | Bronson Methodist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James B Bour, MD 601 John St, Suite M206c, Kalamazoo, MI 49007-5341 Ph: (269) 349-9745 | Dr James B Bour, MD 601 John St, Suite M206c, Kalamazoo, MI 49007-5341 Ph: (269) 349-9745 |
Dr. Bilal Saleem Muhammad, MD Urology Medicare: Medicare Enrolled Practice Location: 601 John St Ste M-318, Kalamazoo, MI 49007 Phone: 269-349-9745 | |
Dr. Gregor W Blix, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M206, Kalamazoo, MI 49007 Phone: 269-349-9745 Fax: 269-488-8305 | |
Dr. Mark A Lucas, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Suite M-206c, Kalamazoo, MI 49007 Phone: 269-349-9745 Fax: 269-349-1013 | |
Pamela Sue Baron, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Ste M206c, Kalamazoo, MI 49007 Phone: 269-488-3230 Fax: 269-488-8305 | |
Austin Fernstrum, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 601 John St Ste M-318, Kalamazoo, MI 49007 Phone: 269-349-9745 | |
Dr. Robert R Isacksen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite M206c, Kalamazoo, MI 49007 Phone: 269-349-9745 Fax: 269-488-8305 |