David Bourg Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1706 Issued in LA

Practice address

301 N Highway 190
Covington, LA 70433-5016

Phone

(985) 893-2223

Fax

(985) 893-2281

NPI assigned

Jun 24, 2014

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

Enrolled in LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaver Creek Health & Rehab Center

  dba Beaver Creek Health & Rehab

  • Clinic/Center
  • Denham Springs, LA
  • NPI 1497934327
  Medicare reassignment NPD
• Acadian Chiropractic & Wellness LLC

  • Chiropractor
  • Baton Rouge, LA
  • NPI 1720434665
  NPD (past)
• All American Nola, LLC

  • Chiropractor
  • New Orleans, LA
  • NPI 1518266477
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1689089088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704700716",
            "telephone_number": "985-893-2223",
            "fax_number": "985-893-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HIGHWAY 190",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335016",
            "telephone_number": "985-893-2223",
            "fax_number": "985-893-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURG",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Mark Bossenmeyer, NP FAMILY NURSE PRAC
• Elizabeth Hughs Bouanchaud, MOT, LOTR
• Ann Boucher, LOTR
• Danielle Boudreaux
• Lara Hutchinson Boudreaux, MD
• Brooke Renae Bourgeois
• Regina Bourgeois, CRNA
• Sarah H Bourgeois
• Carolynn M Bourque, LCSW
• Monika Bowden, C.R.N.A.

• Chiropractor in Covington, LA
• Providers in Covington, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.