- Practice location
- 358 Broadway, Suite 202, Bangor, ME 04401-3985
- Phone
- 207-907-3690
- Fax
- 207-907-3691
- Last updated
- December 15, 2021
Jason Bourque is an Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery based in Bangor, ME. Jason Bourque practices in Bangor, ME and has the professional credentials of MD. The NPI Number for Jason Bourque is 1659651214 and holds a License No. A117876 (CA). The current practice location address for Jason Bourque is 358 Broadway, Suite 202, Bangor, ME 04401-3985 and can be reached out via phone at 207-907-3690 and via fax at 207-907-3691.
Provider Profile Details
- NPI Number
- 1659651214
- Provider Name
- Jason Bourque
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 358 Broadway, Suite 202, Bangor, ME 04401-3985
- Phone Number
- 207-907-3690
- Fax Number
- 207-907-3691
- Primary Taxonomy
- Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery · 207XS0114X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 26, 2011
- Last Update Date
- December 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 358 Broadway
Suite 202
Bangor, ME 04401-3985 - City
- Bangor
- State
- Maine
- Zip
- 04401-3985
- Phone Number
- 207-907-3690
- Fax Number
- 207-907-3691
Provider Business Mailing Address Details
- Address
- Po Box 934
Bangor, ME 04402-0934 - City
- Bangor
- State
- ME
- Zip
- 04402-0934
- Phone Number
- 207-907-3339
- Fax Number
- 207-907-1214
License Information
- License Number (1)
- A117876
- License State (1)
- CA
- Taxonomy (1)
- Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery · 207XS0114X
- License Number (2)
- MD19268
- License State (2)
- ME
- Taxonomy (2)
- Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery · 207XS0114X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Jason Bourque, MD?
The NPI number of Dr. Jason Bourque, MD is 1659651214. It was assigned on August 26, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Jason Bourque, MD?
Dr. Jason Bourque, MD is registered under the primary taxonomy Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (code 207XS0114X), licensed in CA under license number A117876.
Where does Dr. Jason Bourque, MD practice?
The practice location is 358 Broadway, Suite 202, Bangor, ME 04401-3985. The office can be reached at 207-907-3690 (phone) or 207-907-3691 (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 1659651214 directly on the NPPES registry website.