Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Brian Douglass Bourbon, CERTIFIED PEDORTHIST
Specialist in Creve Coeur, MO · enumerated 2013.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1790124923
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Registry record
Entity type Individual (Type 1)
Name Mr. Brian Douglass Bourbon
Credential CERTIFIED PEDORTHIST
Sex Male
Practice address 11709 Old Ballas Rd, Suite 201, Creve Coeur, MO, 63141
Phone (314) 432-1903
Fax (314) 432-5105
Enumeration date Jun 20, 2013
Last updated in NPPES Jun 20, 2013
Taxonomy & licenses
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPED3999 | Other | MO | CERTIFIED PEDORTHIST |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Brian Bourbon?
Brian Bourbon is registered in NPPES with the primary taxonomy of Specialist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-06-20.