Thomas Stephen Bourdon, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATC185 Issued in ME

Practice address

190 Birch St
Lewiston, ME 04240-6408

Phone

(207) 333-3236

Fax

(207) 783-3347

NPI assigned

Sep 2, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023002243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ANDROSCOGGIN AVE",
            "address_2": "APT 1",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406606",
            "telephone_number": "207-671-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BIRCH ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406408",
            "telephone_number": "207-333-3236",
            "fax_number": "207-783-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDON",
        "first_name": "THOMAS",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "ATC185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randee Boulay, LCPC-C
• Boulet-Steele Chiropractic & Acupuncture Center, P.a.
• Kathy Ann Boulet, D.C.
• Susanne Boulette
• Peter H Bouman, MD
• Nicole Boutaugh, DO
• Katie R Bove, LCSW
• Amanda Bowden, CPNP
• Colbey Ryan Bowen
• Benjamin Bowie, CADC

• All providers in Lewiston, ME
• Athletic Trainer in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.