MICHAEL BOURGEOIS M.D.
NPI 1457342842
Pediatrics - Pediatric Endocrinology in Lubbock, TX

Q: What is Michael Bourgeois's NPI number?

The NPI number for Michael Bourgeois is 1457342842. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Q: What is Michael Bourgeois's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bourgeois was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 03, 2005PECOS Enrolled

4102 24TH ST STE 507, LUBBOCK, TX 79410(806) 743-7334(806) 743-7332 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 3, 2021, Nov 10, 2021, Oct 23, 2018 (3 updates tracked since 2018).

On this page

About Michael Bourgeois M.d. NPPES

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

MICHAEL BOURGEOIS M.D. (NPI 1457342842) is an individual pediatric endocrinology provider in Lubbock, Texas, licensed in Texas (F5842) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1457342842

Entity TypeIndividualMale

Primary Taxonomy2080P0205X

Provider Legal NameMICHAEL BOURGEOISCredential: M.D.

Location Address4102 24TH ST STE 507Lubbock, TX 79410-1805

Mailing AddressPo Box 5865Lubbock, TX 79408-5865 · (806) 743-2898 · Fax (806) 743-2787

Phone(806) 743-7334

Fax(806) 743-7332

Sole ProprietorNo

Enumeration DateNovember 3, 2005

Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration

NPPES CertifiedDecember 3, 2021

✔ NPI 1457342842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0205X

License✔ Licensed in TX · F5842

Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Also ListedHospitalistTaxonomy 208M00000X · License F5842 (TX)

4102 24TH ST STE 507, Lubbock, TX 79410

Open in Google Maps ↗

Secondary Practice Location 1

Location 13601 4th StLubbock, TX 79430-0002 · Phone (806) 743-7337 · Fax (806) 743-7329

Other Identifiers 11

Other80822ZTX · Hmo Blue

Medicaid138369704TX

Medicaid36233NM

OtherA119NM · Triwest

MedicaidV2944NM

Medicaid138369711TX

Other460001727TX · Railroad

Medicaid100086010BOK

Other108958105TX · Firstcare Commercial

Other36233NM · Presbyterian Commercial

Other89C152TX · Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Bourgeois M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

NANCY LOUISE BECK M.D.

Pediatrics (Pediatric Endocrinology)