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

Brian Charles Boursiquot, MD

Individual provider Cardiovascular Disease Physician · NPI 1578026167

Brian Charles Boursiquot, MD is a Cardiovascular Disease (Cardiology) in New York, New York. Graduated from Stanford University School of Medicine in 2019, 7 years ago. Licensed in New York.

Years since qualifying
7
Trained at
Stanford University School of Medicine
Licensed in
NY
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

622 W 168th St
New York, NY 10032-3720
Phone: (212) 305-6262
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 317526-01 (NY)

Record details

NPI number1578026167
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in New York