DR. DARRELL P BOURG JR. D.D.S.
NPI 1215053558
Dentist - General Practice in Marrero, LA

Q: What is Darrell Bourg's NPI number?

The NPI number for Darrell Bourg is 1215053558. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Q: What is Darrell Bourg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Darrell Bourg was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 21, 2007

2521 AMES BLVD., STE. C, MARRERO, LA 70072(504) 340-9696(504) 340-7207 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Darrell P Bourg Jr. D.d.s. NPPES

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

DR. DARRELL P BOURG JR. D.D.S. (NPI 1215053558) is an individual general practice provider in Marrero, Louisiana, licensed in Louisiana (5312) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1215053558

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DARRELL P BOURG JR.Credential: D.D.S.

Location Address2521 AMES BLVD., STE. CMarrero, LA 70072-5154

Mailing Address2521 Ames Blvd., Ste. CMarrero, LA 70072-5154 · (504) 340-9696 · Fax (504) 340-7207

Phone(504) 340-9696

Fax(504) 340-7207

Sole ProprietorYes

Enumeration DateMarch 21, 2007

Last NPPES UpdateFebruary 8, 2021

NPPES CertifiedFebruary 8, 2021

✔ NPI 1215053558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in LA · 5312

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2521 AMES BLVD., STE. C, Marrero, LA 70072

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 Darrell Bourg's NPI number?

The NPI number for Darrell Bourg is 1215053558. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Darrell Bourg located?

Darrell Bourg practices at 2521 Ames Blvd., Ste. C, Marrero, LA 70072. The listed phone number is (504) 340-9696.

What is Darrell Bourg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Darrell Bourg accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and BEST Life and 13 other insurers list Darrell Bourg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Darrell Bourg was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.