Andre Bourg, MD
NPI 1871174508ActiveIndividual· Anesthesiology· Birmingham, AL
Anesthesiology (MD) in Birmingham, Alabama, trained at Medical University of South Carolina College of Medicine (class of 2021). Enrolled in Medicare as practitioner - anesthesiology. Mallinckrodt Hospital Products Inc. reported $86.18 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1871174508 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 15, 2021 |
| Last updated in NPPES | Jun 13, 2025 |
| Certified by provider | Jun 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 94155 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (SC) |
|---|
Education and affiliations
| Medical school | Medical University of South Carolina College of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Anesthesiology |
Medical group
- Self Medical GroupGreenwood, SC · 395 clinicians
Hospital affiliations
- Abbeville Area Medical CenterAbbeville, SC
- Self Regional HealthcareGreenwood, SC
Industry payments (Open Payments)
- 2025$86.18 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mallinckrodt Hospital Products Inc. | $86.18 | 1 |
What the 2025 payments were for
- Food and Beverage$86.18 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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