J GARDINER BOURQUE MD
NPI 1881854974
Radiology - Diagnostic Radiology in Beaumont, TX

Active since June 11, 2008
3560 DELAWARE ST, 209, BEAUMONT, TX 77706(409) 899-3684 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About J Gardiner Bourque Md NPPES

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

J GARDINER BOURQUE MD (NPI 1881854974) is an individual diagnostic radiology provider in Beaumont, Texas, licensed in Texas (D1969) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1881854974
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJ GARDINER BOURQUECredential: MD
Location Address3560 DELAWARE ST, 209Beaumont, TX 77706-3067
Mailing Address3560 Delaware St, 209Beaumont, TX 77706-3067 · (409) 899-3684
Sole ProprietorYes
Enumeration DateJune 11, 2008
NPI 1881854974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · D1969
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3560 DELAWARE ST, Beaumont, TX 77706

Other Identifiers 1

Medicare PINE17094TX

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
3560 DELAWARE ST, STE 1003
BEAUMONT, TX 77706
Specialist
3560 DELAWARE ST, 209
BEAUMONT, TX 77706
Specialist
3560 DELAWARE ST, 209
BEAUMONT, TX 77706
Specialist
3560 DELAWARE ST, 209
BEAUMONT, TX 77706
Specialist
3560 DELAWARE ST, #209
BEAUMONT, TX 77706
Dentist (General Practice)
3560 DELAWARE ST, STE 401
BEAUMONT, TX 77706
Specialist
3560 DELAWARE ST, 209
BEAUMONT, TX 77706
Emergency Medicine
3560 DELAWARE ST
BEAUMONT, TX 77706

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 J Bourque's NPI number?

The NPI number for J Bourque is 1881854974. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is J Bourque located?

J Bourque practices at 3560 Delaware St 209, Beaumont, TX 77706. The listed phone number is (409) 899-3684.

What is J Bourque's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for J Bourque was last updated on June 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.