Robert Gibson Bourgeois

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

14000043691 Issued in NY

Practice address

1855 Western Ave
Albany, NY 12203-5026

Phone

(518) 369-1421

NPI assigned

May 21, 2018

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1578054995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BELDALE RD",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599656",
            "telephone_number": "518-369-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035026",
            "telephone_number": "518-369-1421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5010 State Highway 30",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120107532",
            "country_code": "US",
            "telephone_number": "518-369-1421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "ROBERT",
        "middle_name": "GIBSON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000043691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Olivares Boucher, MD
• Patricia Ann Boudreau, P. A.
• Alan Samuel Boulos, M.D.
• Mateo Boulos
• Danielle Marie Bourgeois, MS OTR/L
• Amanda Bourne, PA-C
• Cynthia A. Bourne, CRNA
• Jennifer A Bourque
• Chenique L Boutelle, LCSW
• Ronald Boutin, PHARM D

• Hearing Instrument Specialist in Albany, NY
• Providers in Albany, NY by specialty
• Hearing Instrument Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.