David Bourg, APRN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP07365 Issued in LA

Practice address

1201 Kenneth St
Morgan City, LA 70380-1353

Phone

(985) 384-3355

Fax

(985) 384-2884

NPI assigned

Jun 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• David Bourg Professional name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as group

Quality

88.07

Improvement activities

40

Cost

74.42

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Medical Center Management Corporation

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1083655567
  Medicare reassignment NPD
• University Medical Center Management Corporation

  • Psychiatric Hospital Unit
  • New Orleans, LA
  • NPI 1144261728
  NPD
• Bourgeois Medical Clinic

  • Occupational Medicine Physician
  • Morgan City, LA
  • NPI 1427059039
  NPD (past)

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1134569551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 MATHILDE MARIE DR",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703594535",
            "telephone_number": "985-688-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 KENNETH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801353",
            "telephone_number": "985-384-3355",
            "fax_number": "985-384-2884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "753 Industrial Park Rd",
            "address_purpose": "LOCATION",
            "city": "LaRose",
            "state": "LA",
            "postal_code": "703735967",
            "country_code": "US",
            "telephone_number": "985-601-4839",
            "fax_number": "985-693-1439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURG",
        "first_name": "DAVID",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-29",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "AP07365",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "BOURG",
            "credential": "APRN, CNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Blessed Smiles
• Bogen Transportation,LLC
• Breanne Bogen
• Eldora Bolden, PHARM D
• Mark James Boquet, MD, MPH, MS
• Bourgeois Medical Clinic
• Alex Bourgeois
• Melvin G Bourgeois, MD
• Robert M Bourgeois, MD MPH
• Ronald Bourgeois II, RPH

• Family Nurse Practitioner in Morgan City, LA
• Providers in Morgan City, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.