Organization Active NPI

Bourgeois Family Chiropractic, P.C.

  • Clinic/Center
  • Clifton Park, NY
National Provider Identifier
1114089737
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
X006369 Issued in NY
Legal business name
BOURGEOIS FAMILY CHIROPRACTIC, P.C.
Practice address
1603 Route 9
Clifton Park, NY 12065-4380
Phone
(518) 348-0287
Fax
(518) 348-0284
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Paul Bourgeois, D.C.
Title
Owner Chiropractor
Phone
(518) 348-0287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X X006369 NY Primary

Addresses

Primary practice location

1603 Route 9
Clifton Park, NY 12065-4380

Mailing address

1603 Route 9
Clifton Park, NY 12065-4380
Phone (518) 348-0287

National Provider Directory

National Provider Directory

Locations

1603 Route 9
Halfmoon, NY 12065
Phone (518) 348-0287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114089737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654380",
            "telephone_number": "518-348-0287",
            "fax_number": "518-348-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 ROUTE 9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654380",
            "telephone_number": "518-348-0287",
            "fax_number": "518-348-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURGEOIS FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "518-348-0287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "X006369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.