DR. LARRY AVIS BOURG M.D.
NPI 1205800182
Specialist in Parker, CO

NPI Status: Active since February 15, 2006

Contact Information

12230 LIONESS WAY
PARKER, CO
ZIP 80134
Phone: (720) 644-9355

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  • Individual
  • Male
  • Specialist
  • PECOS Enrolled

About LARRY BOURG

This page provides the complete NPI Profile along with additional information for Larry Bourg, a provider established in Parker, Colorado with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1205800182 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number 39560 (CO). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1205800182
Provider Name
DR. LARRY AVIS BOURG M.D.
Gender
Male
Entity Type
Individual
Location Address
12230 LIONESS WAY PARKER, CO 80134
Location Phone
(720) 644-9355
Mailing Address
9250 E COSTILLA AVE STE 540 GREENWOOD VILLAGE, CO 80112
Mailing Phone
(720) 644-9355
Is Sole Proprietor?
No
Enumeration Date
02-15-2006
Last Update Date
08-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
39560
License State
CO
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
93909365MEDICAID (05)CO 
013365OTHER (01)COKAISER COMMERCIAL NUMBER

Medicare Participation & PECOS Enrollment Status

Larry Bourg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Advance care planning, first 30 minutes

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

This service was performed 35 times for 35 patients

Follow-up nursing facility visit per day, typically 25 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 11 times for 11 patients

Initial nursing facility visit per day, typically 45 minutes

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

This service was performed 162 times for 157 patients

Reviews for DR. LARRY AVIS BOURG M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205800182, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 1 + 6 + 0 + 0 + 1 + 1 + 6 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1205800182.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
12230 LIONESS WAY
PARKER, CO 80134
Skilled Nursing Facility
12230 LIONESS WAY
PARKER, CO 80134
Physician Assistant (Medical)
12230 LIONESS WAY
PARKER, CO 80134
Internal Medicine
12230 LIONESS WAY
PARKER, CO 80134
Physician Assistant (Medical)
12230 LIONESS WAY
PARKER, CO 80134
Family Medicine
12230 LIONESS WAY
PARKER, CO 80134
Physician Assistant (Surgical)
12230 LIONESS WAY
PARKER, CO 80134
Nurse Practitioner (Gerontology)
12230 LIONESS WAY
PARKER, CO 80134
Nurse Practitioner (Family)
12230 LIONESS WAY
PARKER, CO 80134
Physical Therapist
12230 LIONESS WAY
PARKER, CO 80134
Nurse Practitioner (Family)
12230 LIONESS WAY
PARKER, CO 80134
Nurse Practitioner (Family)
12230 LIONESS WAY
PARKER, CO 80134
Nurse Practitioner (Family)
12230 LIONESS WAY
PARKER, CO 80134
Internal Medicine
12230 LIONESS WAY
PARKER, CO 80134
Family Medicine
12230 LIONESS WAY
PARKER, CO 80134
Physician Assistant (Medical)
12230 LIONESS WAY
PARKER, CO 80134
Internal Medicine
12230 LIONESS WAY
PARKER, CO 80134
Internal Medicine
12230 LIONESS WAY
PARKER, CO 80134
Psychiatry & Neurology (Psychiatry)
12230 LIONESS WAY
PARKER, CO 80134
Nurse Practitioner (Family)
12230 LIONESS WAY
PARKER, CO 80134

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205800182, enumerated as an "individual" on February 15, 2006.

The provider is located at 12230 LIONESS WAY PARKER, CO 80134 and the phone number is (720) 644-9355.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare, Medicaid and Kaiser Health. Please consult your insurance carrier or call the provider to verify.