Active NPIIndividual providerSole proprietor

Kala M Frye Bourque, MD

Emergency Medicine, Pediatric Emergency Medicine in Springfield, Massachusetts

NPI Number1447719596
Practice location
759 Chestnut St # S6538, Springfield, MA 01107-1619
Fax
413-510-3382
Last updated
August 17, 2026

Kala Marie Frye Bourque is an Emergency Medicine, Pediatric Emergency Medicine based in Springfield, MA. Kala Marie Frye Bourque practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Kala Marie Frye Bourque is 1447719596 and holds a License No. 1022677 (MA). The current practice location address for Kala Marie Frye Bourque is 759 Chestnut St # S6538, Springfield, MA 01107-1619 and can be reached out via phone at 413-794-3233 and via fax at 413-510-3382.

Provider Profile Details

NPI Number
1447719596
Provider Name
Kala Marie Frye Bourque
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
759 Chestnut St # S6538, Springfield, MA 01107-1619
Phone Number
413-794-3233
Fax Number
413-510-3382
Sole Proprietor
Yes
Provider Enumeration Date
March 18, 2019
Last Update Date
August 17, 2026
Certification Date
August 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
759 Chestnut St # S6538
Springfield, MA 01107-1619
Zip
01107-1619
Phone Number
413-794-3233
Fax Number
413-510-3382
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St Fl 2
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-5700
Fax Number
413-510-3382

License Information

License Number (1)
1022677
License State (1)
MA
Taxonomy (1)
Emergency Medicine, Pediatric Emergency Medicine · 207PP0204X · Primary
License Number (2)
MD210002004
License State (2)
DC

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 Kala M Frye Bourque, MD?

The NPI number of Kala M Frye Bourque, MD is 1447719596. It was assigned on March 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Kala M Frye Bourque, MD?

Kala M Frye Bourque, MD is registered under the primary taxonomy Emergency Medicine, Pediatric Emergency Medicine (code 207PP0204X), licensed in MA under license number 1022677.

Where does Kala M Frye Bourque, MD practice?

The practice location is 759 Chestnut St # S6538, Springfield, MA 01107-1619. The office can be reached at 413-794-3233 (phone) or 413-510-3382 (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 1447719596 directly on the NPPES registry website.

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