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MR. EARL DOUGLAS BOURGOYNE BSCPO
NPI 1114937000
Orthotic Fitter in Albuquerque, NM

Active since August 09, 2006
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108(505) 256-2756 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Earl Douglas Bourgoyne Bscpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EARL DOUGLAS BOURGOYNE BSCPO (NPI 1114937000) is an individual orthotic fitter provider in Albuquerque, New Mexico and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1114937000
Entity TypeIndividualMale
Primary Taxonomy225000000X
Provider Legal NameMR. EARL DOUGLAS BOURGOYNECredential: BSCPO
Location Address1501 SAN PEDRO DR SEAlbuquerque, NM 87108-5153
Mailing Address617 Rio Hondo Rd NeRio Rancho, NM 87144-4717 · (505) 891-9210
Phone(505) 256-2756
Sole ProprietorYes
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114937000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225000000X
Definition
An individual trained in the management of fitting prefabricated orthoses.
1501 SAN PEDRO DR SE, Albuquerque, NM 87108
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA P SAMPSON PHARMD
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
DR. KENDRA SAXVIK PHARM.D.
Pharmacist (Psychiatric)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
SAMANTHA TRAVIERSO
Physician Assistant
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MISS DESIREY MARIE HANKINS LMSW
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
JOSEPH F. OSER M.D.
Internal Medicine (Geriatric Medicine)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
MARGARET PEGGY SPENCER MD
Family Medicine
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
STEPHANIE D HOISINGTON PHARM D
Pharmacist
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711
ALLISYA OTTO
Social Worker (Clinical)
1501 SAN PEDRO DR SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 265-1711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Earl Bourgoyne's NPI number?

The NPI number for Earl Bourgoyne is 1114937000. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Earl Bourgoyne located?

Earl Bourgoyne practices at 1501 San Pedro Dr SE, Albuquerque, NM 87108. The listed phone number is (505) 256-2756.

What is Earl Bourgoyne's specialty?

The primary specialty registered for this NPI is Orthotic Fitter with taxonomy code 225000000X.

When was this NPI record last updated?

The NPPES record for Earl Bourgoyne was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.