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DR. PAUL ROBERT BOURGUIGNON M.D. NPI 1154372175


NPI Information

NPI: 1154372175
Provider Name: DR. PAUL ROBERT BOURGUIGNON, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
50 FAIR HARBOUR PL
SUITE 2C
NEW LONDON, CT
ZIP 06320
Phone: (860) 443-3147
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DR. Paul Robert Bourguignon, M.D. is a vascular surgery surgery in New London, CT with 30 years of experience. 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. Paul Robert Bourguignon, M.D. NPI is 1154372175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

50 FAIR HARBOUR PL
SUITE 2C
NEW LONDON, CT
ZIP 06320-731
Phone: (860) 443-3147
Fax: (860) 443-0087

The NPI 1154372175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)

The enumeration date for this NPI number is 5/15/2006 and was last updated on 5/8/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery038703CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00361916MEDICARE PINCONNECTICUT
29636760OTHERCONNECTICUTCIGNA
3P3418275OTHERCONNECTICUTOXFORD
4038703OTHERCONNECTICUTCONNECTICARE
5001387035MEDICAIDCONNECTICUT
6020001695MEDICARE PINCONNECTICUT
72V8005OTHERHEALTHNET
8010038703CT03OTHERCONNECTICUTANTHEM
9H15071MEDICARE UPINCONNECTICUT

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: 4/28/2024

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.