Michael Charles Bourgeois, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

501613 Issued in TX

Practice address

31003 Sherrie LN
Magnolia, TX 77354-5793

Phone

(281) 460-3120

Fax

(281) 259-0879

NPI assigned

Aug 16, 2005

Last updated

Aug 10, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Lonestar Spine & Pain Consultants, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
  • NPI 1508365081
  NPD (past)
• North Houston Anesthesiologists, PA

  • Anesthesiology Physician
  • Kingwood, TX
  • NPI 1760495725

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC

  • Anesthesiology Physician
  • McAllen, TX
  • NPI 1346570355

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Usm Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Conroe, TX
  • NPI 1255562021

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Surgical Anesthesia of Baton Rouge LLC

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1316936974
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1871585901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31003 SHERRIE LN",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773545793",
            "telephone_number": "281-460-3120",
            "fax_number": "281-259-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31003 SHERRIE LN",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773545793",
            "telephone_number": "281-460-3120",
            "fax_number": "281-259-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "501613",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN051202",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "19119",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "009868L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Ann Boles
• Troy C Bonin, DDS
• Peggy Boone, PHD
• Alexandra Codie Borsboom, AGPCNP-BC
• Lauren Beth Bortnem, M.ED., BCBA
• Michael Bowen, LPC
• Cynthia Guadalupe Bracamontes
• Christina Brasher, D.C.
• Breakthrough Believers Recovery and Healing Center
• Breakthrough Believers Recovery and Healing Center (Behavioral Health Services, Rehab, Healthcare Provider, Counseling)

• Certified Registered Nurse Anesthetist in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.