Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER DANIEL BOURLAND, PHYSICIAN ASSISTANT
ActivePETER DANIEL BOURLAND, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1710510565 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RALEIGH, NC
Registration Details
- NPI Number
- 1710510565
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 20, 2020 (6.4434533745298 yrs)
- Last Updated
- Apr 10, 2025
- License
-
0010-14932 (NC)
Practice Information
- Address
-
4420 LAKE BOONE TRLRALEIGH, NC, 276077505Browse NC providers · Browse ZIP 27607
- Phone
- 9197842576
- Fax
- 9197842577
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| MICHAEL EDWARD WIEGERT | PA-C | 1104822592 |
| ELIZABETH FULLER | PA | 1144228008 |
| PAMELA BURLESON | PA-C | 1447258306 |
| I-LING YU | PA-C | 1477551364 |
| MRS. ELIZABETH JAYNES TURNER | PA-C | 1134127905 |
| MR. DANA W JOHNSON | PA-C | 1659379428 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.