DR. MARY EVELYN BOURLAND MD NPI 1164480679

NPI Information

  • NPI: 1164480679
  • Provider Name: DR. MARY EVELYN BOURLAND, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • Address: 2708 RIFE MEDICAL LN
    SUITE 210
    ROGERS, AR
    ZIP 72758
  • Phone: (479) 338-3888

Map and Directions

Get Directions

NPI Details

DR. Mary Evelyn Bourland, MD is a vascular surgery surgery in Rogers, AR. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Mary Evelyn Bourland, MD NPI is 1164480679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2708 RIFE MEDICAL LN
SUITE 210
ROGERS, AR
ZIP 72758-452
Phone: (479) 338-3888
Fax: (479) 338-4453

The enumeration date for this NPI number is 5/3/2006 and was last updated on 5/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryE4355ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F58711MEDICARE UPINARKANSAS
2122998001MEDICAIDARKANSAS
35N191MEDICARE ID-TYPE UNSPECIFIEDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.