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DANIEL R. BOURQUE, M.D., A.P.M.C.
NPI 1659688489
Obstetrics & Gynecology in Lafayette, LA

Active since August 31, 2010CLIA 19D0707104 · Waiver
435 HEYMANN BLVD, LAFAYETTE, LA 70503(337) 234-3344(337) 234-3352 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2023, Nov 9, 2017 (2 updates tracked since 2017).

About Daniel R. Bourque, M.d., A.p.m.c. NPPES

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

DANIEL R. BOURQUE, M.D., A.P.M.C. (NPI 1659688489) is a healthcare organization registered as an obstetrics & gynecology in Lafayette, Louisiana and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Daniel R. Bourque, Physician, as its authorized official.

NPPES Registry Identity

NPI1659688489
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameDANIEL R. BOURQUE, M.D., A.P.M.C.
Location Address435 HEYMANN BLVDLafayette, LA 70503-2616
Mailing Address435 Heymann BlvdLafayette, LA 70503-2616 · (337) 234-3344 · Fax (337) 234-3352
Phone(337) 234-3344
Fax(337) 234-3352
Organization SubpartNo
Authorized OfficialDaniel R. BourquePhysician · (337) 234-3344
Enumeration DateAugust 31, 2010
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1659688489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in LA · 016161
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
435 HEYMANN BLVD, Lafayette, LA 70503
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel R. Bourque, M.d., A.p.m.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20101006001130Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Daniel R. Bourque, M.D., A.P.M.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Daniel Bourque, MD
Obstetrics/Gynecology
NPI 1952393084
435 HEYMANN BLVD
Lafayette, LA 70503
(337) 234-3344
✔ PECOS✔ Accepts MedicareSame address
Charles Padgett, MD
Obstetrics/Gynecology
NPI 1770102931
435 HEYMANN BLVD
Lafayette, LA 70503
(337) 234-3344
✔ PECOS✔ Accepts MedicareSame address
Jordan Forsthoff, NP
Nurse Practitioner
NPI 1972759777
435 HEYMANN BLVD
Lafayette, LA 70503
(337) 234-3344
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0707104

Dr Daniel R Bourque · Lafayette, LA
Active · expires Aug 31, 2028
CLIA Number19D0707104
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorDaniel R. Bourque
Laboratory Phone(337) 234-3344
Laboratory LocationDr Daniel R Bourque435 Heymann Blvd, Lafayette, LA 70503
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Daniel R. Bourque, M.D., A.P.M.C.'s NPI number?

The NPI number for Daniel R. Bourque, M.D., A.P.M.C. is 1659688489. It was assigned to this organization in the NPPES registry on August 31, 2010.

Where is Daniel R. Bourque, M.D., A.P.M.C. located?

Daniel R. Bourque, M.D., A.P.M.C. is located at 435 Heymann Blvd, Lafayette, LA 70503. The listed phone number is (337) 234-3344.

What is Daniel R. Bourque, M.D., A.P.M.C.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Daniel R. Bourque, M.D., A.P.M.C. enrolled in Medicare?

Yes. Daniel R. Bourque, M.D., A.P.M.C. is registered in the Medicare PECOS enrollment system.

When is Daniel R. Bourque, M.D., A.P.M.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Daniel R. Bourque, M.D., A.P.M.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Daniel R. Bourque, M.D., A.P.M.C., in Nurse Practitioner and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Daniel R. Bourque, M.D., A.P.M.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0707104) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Daniel R. Bourque, M.D., A.P.M.C. accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Daniel R. Bourque, M.D., A.P.M.C. 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 Daniel R. Bourque, M.D., A.P.M.C. was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.