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RYAN BOURGEOIS FNP
NPI 1669085437
Nurse Practitioner - Family in Fort Worth, TX

Active since August 31, 2020
2917 CROCKET STREET, FORT WORTH, TX 76107(817) 385-4814 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ryan Bourgeois Fnp NPPES

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

RYAN BOURGEOIS FNP (NPI 1669085437) is an individual family provider in Fort Worth, Texas, licensed in Texas (1010773) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1669085437
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRYAN BOURGEOISCredential: FNP
Location Address2917 CROCKET STREETFort Worth, TX 76107
Mailing Address15304 Seventeen Lakes BlvdRoanoke, TX 76262-3739 · (818) 209-2501
Phone(817) 385-4814
Sole ProprietorYes
Enumeration DateAugust 31, 2020
NPPES CertifiedAugust 26, 2020
✔ NPI 1669085437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1010773
2917 CROCKET STREET, Fort Worth, TX 76107
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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 Ryan Bourgeois's NPI number?

The NPI number for Ryan Bourgeois is 1669085437. It was assigned to this individual provider in the NPPES registry on August 31, 2020.

Where is Ryan Bourgeois located?

Ryan Bourgeois practices at 2917 Crocket Street, Fort Worth, TX 76107. The listed phone number is (817) 385-4814.

What is Ryan Bourgeois's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ryan Bourgeois was last updated on August 31, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.