Douglas Rene Bourgon, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A85247 Issued in CA

Practice address

450 Stanyan St
San Francisco, CA 94117-1019

Phone

(415) 750-5687

NPI assigned

May 8, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA, FL, OR3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic Radiology

Education

Wayne State University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Imaging Associates P CGroup PAC ID 6800880055, 61 clinicians

Image Guided Therapeutics IncGroup PAC ID 6608874896, 16 clinicians

Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• UCSF Health St. Mary's Hospital Hospital, San Francisco, CA, CCN 050457
• Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
• Sequoia Hospital Hospital, Redwood City, CA, CCN 050197
• Centura Health-St Anthony North Health Campus Hospital, Westminster, CO, CCN 060104
• UCSF Health Saint Francis Hospital Hospital, San Francisco, CA, CCN 050152

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

96.93

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

86.64 of 100Reported as group

Quality

86.81

Improvement activities

40

Cost

77.34

Merit-based Incentive Payment System (MIPS)

Final score

99.64 of 100Reported as apm

Quality

86.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: dbourgon439417@direct-ucsfmedicalcenter.org

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.

• Dignity Health Medical Foundation

  dba Mercy Medical Group, a service of Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1700803418
  Medicare reassignment Care Compare group NPD
• Image Guided Therapeutics, Inc.

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1316968910
  Medicare reassignment Care Compare group NPD
• Colorado Imaging Associates P C

  • Diagnostic Radiology Physician
  • Lakewood, CO
  • NPI 1255306726

  CA, OR

  Medicare reassignment Care Compare group NPD
• Elite Imaging, LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Aventura, FL
  • NPI 1942208319

  CA

  Medicare reassignment NPD
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - Sierra Nevada, a service of Dignity Hea

  • Multi-Specialty Clinic/Center
  • Grass Valley, CA
  • NPI 1043456106
  NPD
• Dignity Health Medical Foundation

  dba Dignity Health Medical Group - North State, a service of Dignity Healt

  • Multi-Specialty Clinic/Center
  • Redding, CA
  • NPI 1912288432
  NPD
• Afo Imaging Inc

  dba Advanced Diagnostic Group

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1740366764
  NPD
• Coastline Imaging LLC

  dba Encore Imaging

  • Diagnostic Radiology Physician
  • Melbourne, FL
  • NPI 1770576167
  NPD
• Elite Imaging LLC

  dba Akumin

  • Diagnostic Radiology Physician
  • Orange Park, FL
  • NPI 1346516853
  NPD
• Imaging Center of West Palm Beach LLC

  dba Imaging Center of Delray Beach

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Delray Beach, FL
  • NPI 1225402464
  NPD
• Imaging Center of West Palm Beach LLC

  dba Imaging Center of Boynton Beach

  • Radiology Clinic/Center
  • Boynton Beach, FL
  • NPI 1396974705
  NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • West Palm Beach, FL
  • NPI 1538152939
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  dba Sequoia Hospital

  • General Acute Care Hospital
  • Redwood City, CA
  • NPI 1568646735
  Care Compare affiliation
• UCSF Health Community Hospitals

  dba UCSF Health - St. Mary's Hospital

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1174667158
  Care Compare affiliation
• UCSF Health Community Hospitals

  dba UCSF Health Saint Francis Hospital

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1316061997
  Care Compare affiliation
• Catholic Health Iniatives Colorado

  dba St. Anthony North Hospital

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1619985942
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba 84th Avenue Imaging Center

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1013557545
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba 84th Avenue Emergency/Urgent Care

  • Emergency Care Clinic/Center
  • Westminster, CO
  • NPI 1093355604

  Hospital

  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1104466630
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  dba St. Anthony Hospital

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1164430567
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1568002095
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Lakewood, CO
  • NPI 1740820273
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1831739440
  Care Compare affiliation
• Catholic Health Initiatives Colorado

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1912547449
  Care Compare affiliation

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1730138876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 1687",
            "address_2": "1801 W OLYMPIC BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911991687",
            "telephone_number": "415-750-5687",
            "fax_number": "415-683-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171019",
            "telephone_number": "415-750-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGON",
        "first_name": "DOUGLAS",
        "middle_name": "RENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "985247",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A85247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00248458",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A852470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharya Vaughan Bourdet
• Alexandra Tan Bourdillon, MD
• Leah Mitra Bourgan
• Michelle Bourgault, M.D.
• Sarah Bourget
• Shelby Bourhis, LMFT
• Andrea L Bourne, AU.D.
• Megan Rose Bourne, MSW
• Sarah Bourne
• Homer A. Boushey, MD

• Diagnostic Radiology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.