Active NPIIndividual provider

Mr. Thomas S Bourdon, ATC

Specialist/Technologist, Athletic Trainer in Lewiston, Maine

NPI Number1023002243
Practice location
190 Birch St, Lewiston, ME 04240-6408
Fax
207-783-3347
Last updated
July 13, 2026

Thomas Stephen Bourdon is a Specialist/Technologist, Athletic Trainer based in Lewiston, ME. Thomas Stephen Bourdon practices in Lewiston, ME and has the professional credentials of ATC. The NPI Number for Thomas Stephen Bourdon is 1023002243 and holds a License No. ATC185 (ME). The current practice location address for Thomas Stephen Bourdon is 190 Birch St, Lewiston, ME 04240-6408 and can be reached out via phone at 207-333-3236 and via fax at 207-783-3347.

Provider Profile Details

NPI Number
1023002243
Provider Name
Thomas Stephen Bourdon
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
190 Birch St, Lewiston, ME 04240-6408
Phone Number
207-333-3236
Fax Number
207-783-3347
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
September 2, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
190 Birch St
Lewiston, ME 04240-6408
State
Maine
Zip
04240-6408
Phone Number
207-333-3236
Fax Number
207-783-3347
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
80 Androscoggin Ave
Apt 1
Lewiston, ME 04240-6606
City
Lewiston
State
ME
Zip
04240-6606
Phone Number
207-671-5016

License Information

License Number
ATC185
License State
ME
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Thomas S Bourdon, ATC?

The NPI number of Mr. Thomas S Bourdon, ATC is 1023002243. It was assigned on September 2, 2005 and is currently active in the NPPES registry.

What is the specialty of Mr. Thomas S Bourdon, ATC?

Mr. Thomas S Bourdon, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in ME under license number ATC185.

Where does Mr. Thomas S Bourdon, ATC practice?

The practice location is 190 Birch St, Lewiston, ME 04240-6408. The office can be reached at 207-333-3236 (phone) or 207-783-3347 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023002243 directly on the NPPES registry website.

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