Daniel R Bourque, MD

Obstetrics & Gynecology in Lafayette, LA. Individual provider (NPI-1).

NPI number1952393084

StatusActive

Last updated in NPPESJun 20, 2023

Details

NPI: 1952393084
Entity type: Individual (NPI-1)
Name: Daniel R Bourque
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Aug 16, 2005
Certification date: Jun 20, 2023
Last updated: Jun 20, 2023

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207V00000X	Obstetrics & Gynecology	016161	LA	Yes

Practice location

435 Heymann Blvd
Lafayette, LA 70503-2616

Phone 337-234-3344 · Fax 337-234-3352

Mailing address

435 Heymann Blvd
Lafayette, LA 70503-2616

Phone 337-234-3344 · Fax 337-234-3352

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Other Obstetrics & Gynecology Physician providers in Lafayette, LA

All 55 Obstetrics & Gynecology Physician providers in Lafayette · All 7,488 providers in Lafayette

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