Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Bourg, MD

Individual provider Anesthesiology Physician · NPI 1871174508

Andre Bourg, MD is an Anesthesiology in Birmingham, Alabama. Graduated from Medical University of South Carolina College of Medicine in 2021, 5 years ago. Practices with Self Medical Group, a 396-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

625 19th St S
Birmingham, AL 35249-1900
Phone: (205) 934-4696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1325 Spring St, Greenwood, SC 29646-3860 — (864) 725-4111

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 94155 (SC)

Record details

NPI number1871174508
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address625 19th Street South, Birmingham, AL 35249-1900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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