THAD ALEXANDER BOURQUE M.D. NPI 1912093709

NPI Information

  • NPI: 1912093709
  • Provider Name: THAD ALEXANDER BOURQUE, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1103 KALISTE SALOOM RD
    SUITE 200
    LAFAYETTE, LA
    ZIP 70508
  • Phone: (337) 988-1803

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NPI Details

Thad Alexander Bourque, M.D. is an urology in Lafayette, LA with 35 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. Thad Alexander Bourque, M.D. NPI is 1912093709. 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 SHREVEPORT
Graduation Year:1991

The provider's business location address is:

1103 KALISTE SALOOM RD
SUITE 200
LAFAYETTE, LA
ZIP 70508-783
Phone: (337) 988-1803
Fax: (337) 988-1805

The NPI 1912093709 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.

  • Injection, testosterone cypionate, 1 mg (HCPCS:J1071)
  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • 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)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Screening test for pathogenic organisms with colony count (HCPCS:87084)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) (HCPCS:87184)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Urinalysis, manual test (HCPCS:81002)
  • Insertion of temporary bladder tube (HCPCS:51701)
  • X-ray of abdomen, minimum of 3 views (HCPCS:74021)
  • X-ray of abdomen, 2 views (HCPCS:74019)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Simple bladder irrigation and/or instillation (HCPCS:51700)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Tissue marker, implantable, any type, each (HCPCS:A4648)
  • Injection of biodegradable material next to prostate (HCPCS:55874)
  • Placement of device in prostate for radiation therapy (HCPCS:55876)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Insertion of tube into ureter using an endoscope through bladder area (HCPCS:52005)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Biopsy of prostate gland (HCPCS:55700)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method (HCPCS:G0416)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Other procedure on male genital system (HCPCS:55899)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Biopsy of prostate gland (HCPCS:55700)
  • Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings (HCPCS:51784)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 10/5/2006 and was last updated on 3/7/2023.

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
1174400000XSpecialist021311LOUISIANANo
2208800000XUrologyMD.021311LOUISIANAYes

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
1C5115OTHERLOUISIANABLUE CROSS BLUE SHIELD
21680974MEDICAIDLOUISIANA

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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