Active NPIIndividual provider

Keith J Bourgeois, FNP-C

Nurse Practitioner, Family in Augusta, Maine

NPI Number1720502628
Practice location
1 VA Ctr, Augusta, ME 04330-6795
Fax
—
Last updated
January 15, 2026

Keith James Bourgeois is a Nurse Practitioner, Family based in Augusta, ME. Keith James Bourgeois practices in Augusta, ME and has the professional credentials of FNP-C. The NPI Number for Keith James Bourgeois is 1720502628 and holds a License No. 111595-23 (NH). The current practice location address for Keith James Bourgeois is 1 VA Ctr, Augusta, ME 04330-6795 and can be reached out via phone at 207-623-8411.

Provider Profile Details

NPI Number
1720502628
Provider Name
Keith James Bourgeois
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
1 VA Ctr, Augusta, ME 04330-6795
Phone Number
207-623-8411
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2017
Last Update Date
January 15, 2026
Certification Date
January 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 VA Ctr
Augusta, ME 04330-6795
State
Maine
Zip
04330-6795
Phone Number
207-623-8411
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
1 VA Center
Augusta, ME 04330
City
Augusta
State
ME
Zip
04330
Phone Number
207-623-8411

License Information

License Number (1)
111595-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
CNP171069
License State (2)
ME
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X

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 Keith J Bourgeois, FNP-C?

The NPI number of Keith J Bourgeois, FNP-C is 1720502628. It was assigned on August 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Keith J Bourgeois, FNP-C?

Keith J Bourgeois, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NH under license number 111595-23.

Where does Keith J Bourgeois, FNP-C practice?

The practice location is 1 VA Ctr, Augusta, ME 04330-6795. The office can be reached at 207-623-8411 (phone).

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 1720502628 directly on the NPPES registry website.

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