DR. JASON BOURQUE M.D.
NPI 1659651214
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Bangor, ME

Q: What is Jason Bourque's NPI number?

The NPI number for Jason Bourque is 1659651214. It was assigned to this individual provider in the NPPES registry on August 26, 2011.

Q: What is Jason Bourque's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Jason Bourque was last updated on December 15, 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 August 26, 2011PECOS EnrolledAccepts Medicare Assignment

358 BROADWAY, SUITE 202, BANGOR, ME 04401(207) 907-3690(207) 907-3691 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jason Bourque M.d. NPPES

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

DR. JASON BOURQUE M.D. (NPI 1659651214) is an individual adult reconstructive orthopaedic surgery provider in Bangor, Maine, licensed in Maine (MD19268) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1659651214

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. JASON BOURQUECredential: M.D.

Location Address358 BROADWAY, SUITE 202Bangor, ME 04401-3985

Mailing AddressPo Box 934Bangor, ME 04402-0934 · (207) 907-3339 · Fax (207) 907-1214

Phone(207) 907-3690

Fax(207) 907-3691

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 26, 2011

Last NPPES UpdateDecember 15, 2021

✔ NPI 1659651214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

Licenses✔ Licensed in ME · MD19268✔ Licensed in CA · A117876

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

358 BROADWAY, Bangor, ME 04401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason Bourque M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597937508

PECOS Enrollment IDI20111018000327

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.

Other Providers at the Same Location NPPES 4

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

DR. HATEM T SHOUKEIR M.D.

Internal Medicine (Gastroenterology)

358 BROADWAY, SUITE 100
BANGOR, ME 04401

Penobscot County (207) 907-3550

SURAPANENI RAMANADHARAO MDPA

Urology

358 BROADWAY, SUITE 207
BANGOR, ME 04401

Penobscot County (207) 942-3878

SCOTT D SHULMAN MD

Psychiatry & Neurology (Neurology)

358 BROADWAY, SUITE 306
BANGOR, ME 04401

Penobscot County (207) 907-3660

BANGOR SURGICAL ASSOCIATES, P.A.

Surgery

358 BROADWAY, SUITE 306
BANGOR, ME 04401

Penobscot County (207) 947-5503

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 Jason Bourque's NPI number?

The NPI number for Jason Bourque is 1659651214. It was assigned to this individual provider in the NPPES registry on August 26, 2011.

Where is Jason Bourque located?

Jason Bourque practices at 358 Broadway Suite 202, Bangor, ME 04401. The listed phone number is (207) 907-3690.

What is Jason Bourque's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Jason Bourque enrolled in Medicare?

Yes. Jason Bourque is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jason Bourque was last updated on December 15, 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.