BRIAN BOURGEAULT (NPI# 1962651604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962651604 |
Entity Type | Individual |
Full Name | BRIAN BOURGEAULT |
Credential | PA |
Practice Address |
140 High St Springfield MA 01199-1006 |
Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1000 |
Practice Telephone | 4137942511 |
Mailing Telephone | 4137945700 |
Enumeration Date | 2008-09-18 |
Last Update Date | 2011-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2603 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
140 HIGH ST |
City | SPRINGFIELD |
State | MA |
Zip Code | 01199-1006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043217318 | Sudeep K Aulakh | Internal Medicine | 140 High St, Springfield, MA 01105-1442 | 2005-07-01 |
1801410568 | Emanuel Omar Parrilla | Physician Assistant | 140 High St, Springfield, MA 01105-1442 | 2020-05-29 |
1558903484 | Jillian Mary Midghall | Nurse Practitioner | 140 High St, Springfield, MA 01105-1442 | 2019-10-11 |
1245883610 | Katherine Newport | Nurse Practitioner | 140 High St, Springfield, MA 01105-1442 | 2019-07-24 |
1508424268 | Veronica Marrero | Social Worker | 140 High St, Springfield, MA 01105-1442 | 2019-05-29 |
1215493226 | Jessica L Rivera | Counselor | 140 High St, Springfield, MA 01105-1442 | 2019-02-14 |
1962977587 | Zinab Hamza Maghraby | Counselor | 140 High St, Springfield, MA 01105 | 2018-10-10 |
1790260925 | Alana Michelle Natale | Community/Behavioral Health | 140 High St, Springfield, MA 01105-1442 | 2018-10-03 |
1659854859 | Marcia Graves Roddy | Social Worker | 140 High St, Springfield, MA 01105-1442 | 2018-09-13 |
1174005086 | Mary D Fleming | Social Worker | 140 High St, Springfield, MA 01199-1006 | 2018-09-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194211227 | Alice Perman Leveston | Social Worker | 759 Chestnut St # S2660, Springfield, MA 01199 | 2018-07-01 |
1043732415 | Calvin Keith Craig | Student in an Organized Health Care Education/Training Program | Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199 | 2017-07-07 |
1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
1912231903 | Abistanand Ankam | Anesthesiology | 759 Chestnut St Department of Anesthesia, Baystate Medical Center, Holyoke, MA 01199 | 2009-09-24 |
1205099553 | Ejaz Khalid | Internal Medicine | 759 Chest Nut Street, Department of Internal Medicine Attn Linda Baillargeon, Springfield, MA 01199 | 2008-07-08 |
1184817926 | Asha Thomas | Pediatrics | 3300 Main Street 4th Floor, Suite A&b, Springfield, MA 01199 | 2007-08-24 |
1730381435 | Vicki Weld | Social Worker | 3300 Main Street, Suite 4a, Springfield, MA 01199 | 2007-06-04 |
1699976266 | Jim Maloney | Physical Therapist | 360 Birnie Avenue, Springfield, MA 01199 | 2007-05-30 |
1881780690 | Lawrence C Peters | Psychiatry & Neurology | 759 Chestnut Street S5632, Springfield, MA 01199 | 2006-10-05 |
1366460222 | Stephen A Luippold | Registered Nurse | 759 Chesnut Street, S2676, Springfield, MA 01199 | 2006-07-18 |
Find all providers in zip 01199 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
1770850216 | Lauren Jennifer Navas | Physician Assistant | 100 River St Ste 2, Springfield, VT 05156-2930 | 2011-11-29 |
1295885168 | Jacqueline Kernaghan | Physician Assistant | 723 Saxer Ave, Springfield, PA 19064-3503 | 2007-01-11 |
1295746733 | Gwen Wright | Physician Assistant | 194 W Sproul Rd, Suite 105, Springfield, PA 19064-2027 | 2006-08-10 |
1164490710 | Stacie L Pierce | Physician Assistant | 3721 W El Castile St, Springfield, MO 65807-5431 | 2006-03-09 |
1245206432 | Annette K Bates | Physician Assistant | 819 Worcester St Ste 3, Springfield, MA 01151-1056 | 2006-02-27 |
1518947159 | Louis Patrick Favata | Physician Assistant | 140 High St., Springfield, MA 01199 | 2006-01-19 |
1649257031 | Scott D Rubin | Physician Assistant | 3400 Main Street, Springfield, MA 01107-1113 | 2005-12-27 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01199 |
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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.