Active NPI
Bourgeois Family Chiropractic, P.C.
- Clinic/Center
- Clifton Park, NY
National Provider Identifier
1114089737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- X006369
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Rehabilitation Chiropractor
- Amsterdam, NY
- NPI 1093891962
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.