DAVID BOURG (NPI# 1134569551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134569551 |
| Entity Type | Individual |
| Full Name | DAVID BOURG |
| Other Name | DAVID BOURG |
| Credential | APRN, CNP |
| Practice Address |
753 Industrial Park Rd Larose LA 70373-5967 |
| Mailing Address |
177 Horis Dr Houma LA 70364-3807 |
| Practice Telephone | 9856014839 |
| Practice Fax Number | 9856931439 |
| Mailing Telephone | 9856884598 |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2016-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP07365 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP07365 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689089088 | David Bourg Jr. | Chiropractor | 301 N Highway 190, Covington, LA 70433-5016 | 2014-06-24 |
| Street Address |
753 INDUSTRIAL PARK RD |
| City | LAROSE |
| State | LA |
| Zip Code | 70373-5967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053468512 | Darren J. Duet | Family Medicine | 753 Industrial Park Rd, Larose, LA 70373-5967 | 2007-01-05 |
| 1508200577 | Kimberly Marie Broussard | Physician Assistant | 753 Industrial Park Rd, Larose, LA 70373-5967 | 2013-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063968295 | Sabrina Hagar | Pharmacist | 13998 W Main Street, Larose, LA 70373 | 2016-08-28 |
| 1801028154 | Travis Paul Toups | Physical Therapist | 13554 Highway 3235, Ste B, Larose, LA 70373 | 2009-08-20 |
| 1518180322 | Christine Miller Cedotal | Physical Therapist | 11109 Hwy. 308, Larose, LA 70373 | 2007-04-10 |
| 1619455037 | Sleep Better Louisiana, LLC | Dentist | 13373 Highway 3235, Larose, LA 70373 | 2018-07-30 |
| 1619494234 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13998 W Main St, Larose, LA 70373 | 2017-08-24 |
| 1003175795 | Trang Tran | Pharmacist | 13998 W Main St, Larose, LA 70373 | 2012-05-15 |
| 1164697033 | Kellie Hebert | Occupational Therapist | 13343 West Main Street, Larose, LA 70373 | 2008-04-23 |
| 1447425319 | Angelle Curole | Specialist/Technologist | 13343 West Main Street, Larose, LA 70373 | 2008-04-23 |
| 1447425335 | Shana Matherne | Occupational Therapy Assistant | 13343 West Main Street, Larose, LA 70373 | 2008-04-23 |
| 1740464973 | Therex | Speech-Language Pathologist | 13343 West Main Street, Larose, LA 70373 | 2007-12-24 |
| Find all providers in zip 70373 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.