Brian Bourgeault, PA
Physician Assistant, Medical in Springfield, Massachusetts
1962651604- Practice location
- 11 Wilbraham Road, 2ND Floor, Springfield, MA 01109-3161
- Phone
- 413-794-2511
- Fax
- 413-794-8428
- Last updated
- June 18, 2026
Brian Bourgeault is a Physician Assistant, Medical based in Springfield, MA. Brian Bourgeault practices in Springfield, MA and has the professional credentials of PA. The NPI Number for Brian Bourgeault is 1962651604 and holds a License No. 2603 (MA). The current practice location address for Brian Bourgeault is 11 Wilbraham Road, 2ND Floor, Springfield, MA 01109-3161 and can be reached out via phone at 413-794-2511 and via fax at 413-794-8428.
Provider Profile Details
- NPI Number
- 1962651604
- Provider Name
- Brian Bourgeault
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11 Wilbraham Road, 2ND Floor, Springfield, MA 01109-3161
- Phone Number
- 413-794-2511
- Fax Number
- 413-794-8428
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 18, 2008
- Last Update Date
- June 18, 2026
- Certification Date
- June 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Wilbraham Road
2ND Floor
Springfield, MA 01109-3161 - City
- Springfield
- State
- Massachusetts
- Zip
- 01109-3161
- Phone Number
- 413-794-2511
- Fax Number
- 413-794-8428
Provider Business Mailing Address Details
- Address
- 280 Chestnut St
2ND Floor
Springfield, MA 01199-1000 - City
- Springfield
- State
- MA
- Zip
- 01199-1000
- Phone Number
- 413-794-5700
License Information
- License Number
- 2603
- License State
- MA
- Taxonomy
- Physician Assistant, Medical · 363AM0700X · 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 Brian Bourgeault, PA?
The NPI number of Brian Bourgeault, PA is 1962651604. It was assigned on September 18, 2008 and is currently active in the NPPES registry.
What is the specialty of Brian Bourgeault, PA?
Brian Bourgeault, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in MA under license number 2603.
Where does Brian Bourgeault, PA practice?
The practice location is 11 Wilbraham Road, 2ND Floor, Springfield, MA 01109-3161. The office can be reached at 413-794-2511 (phone) or 413-794-8428 (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 1962651604 directly on the NPPES registry website.