DR. JASON BOURQUE M.D. NPI 1205060175

NPI Information

  • NPI: 1205060175
  • Provider Name: DR. JASON BOURQUE, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 120 RUE LOUIS XIV
    LAFAYETTE, LA
    ZIP 70508
  • Phone: (337) 769-7779

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NPI Details

DR. Jason Bourque, M.D. is an urology in Lafayette, LA with 17 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Jason Bourque, M.D. NPI is 1205060175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2009

The provider's business location address is:

120 RUE LOUIS XIV
LAFAYETTE, LA
ZIP 70508-739
Phone: (337) 769-7779

The NPI 1205060175 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.

  • High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml (HCPCS:Q9958)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Automated urinalysis test (HCPCS:81003)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Screening test for pathogenic organisms with colony count (HCPCS:87084)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) (HCPCS:87184)
  • Insertion of implant in urethra within prostate gland using an endoscope, each additional implant (HCPCS:52442)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Urinalysis, manual test (HCPCS:81002)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Insertion of implant in urethra within prostate gland using an endoscope, 1 implant (HCPCS:52441)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection, tobramycin sulfate, up to 80 mg (HCPCS:J3260)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • X-ray of abdomen, minimum of 3 views (HCPCS:74021)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Review by radiologist of urinary bladder image (HCPCS:74430)
  • Other procedure on male genital system (HCPCS:55899)
  • Simple bladder irrigation and/or instillation (HCPCS:51700)
  • Insertion of temporary bladder tube (HCPCS:51701)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Partial removal of kidney using an endoscope (HCPCS:50543)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Injection procedure for imaging of bladder during voiding (HCPCS:51600)
  • Biopsy of prostate gland (HCPCS:55700)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasonic guidance during surgery (HCPCS:76998)
  • Surgical removal of prostate and surrounding lymph nodes using an endoscope (HCPCS:55866)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Removal of lymph nodes of both sides of pelvis using an endoscope (HCPCS:38571)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 5/7/2009 and was last updated on 3/17/2018.

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
1208800000XUrology10033777TEXASNo
2208800000XUrologyQ3854TEXASNo
3208800000XUrology307858LOUISIANAYes

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

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