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

Dr. Wilson Bourjolly, MD

Individual provider Internal Medicine Physician · NPI 1780759894

Dr. Wilson Bourjolly, MD is a Hospitalist in New York, New York. Graduated from University of Missouri, Kansas City, School of Medicine in 1999, 27 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
NY
In the registry since
2006
Specialties on file
2
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

5141 Broadway
New York, NY 10034-1159
Phone: (212) 305-5138
Fax: (212) 305-2843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 224422 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 224422 (NY)

Record details

NPI number1780759894
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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