MICHAEL BOURGEOIS M.D. NPI 1457342842

NPI Information

NPI: 1457342842
Provider Name: MICHAEL BOURGEOIS, M.D.
Classification: Pediatrics - 2080P0205X
Entity Type: Individual

Specialization: Pediatric Endocrinology

PECOS Registration: Yes

Address:
4102 24TH ST STE 507
LUBBOCK, TX
ZIP 79410
Phone: (806) 743-7334
Get Directions

Michael Bourgeois, M.D. is a pediatric endocrinology pediatrics in Lubbock, TX. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. Michael Bourgeois, M.D. NPI is 1457342842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4102 24TH ST STE 507
LUBBOCK, TX
ZIP 79410-805
Phone: (806) 743-7334
Fax: (806) 743-7332

The NPI 1457342842 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 enumeration date for this NPI number is 11/3/2005 and was last updated on 12/3/2021.

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
1	208M00000X	Hospitalist		F5842	TEXAS	No
2	2080P0205X	Pediatrics	Pediatric Endocrinology	F5842	TEXAS	Yes

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
1	80822Z	OTHER	TEXAS	HMO BLUE
2	138369704	MEDICAID	TEXAS
3	36233	MEDICAID	NEW MEXICO
4	A119	OTHER	NEW MEXICO	TRIWEST
5	V2944	MEDICAID	NEW MEXICO
6	138369711	MEDICAID	TEXAS
7	460001727	OTHER	TEXAS	RAILROAD
8	100086010B	MEDICAID	OKLAHOMA
9	108958105	OTHER	TEXAS	FIRSTCARE COMMERCIAL
10	36233	OTHER	NEW MEXICO	PRESBYTERIAN COMMERCIAL
11	89C152	OTHER	TEXAS	BC/BS

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: 11/14/2023

NPI Synchronization or Removal

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