DR. JORDAN MICHAEL BOURG MD
NPI 1942055041
Family Medicine in Tucson, AZ

Q: What is Jordan Bourg's NPI number?

The NPI number for Jordan Bourg is 1942055041. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Q: What is Jordan Bourg's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Bourg was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 22, 2024PECOS Enrolled

3950 S COUNTRY CLUB RD STE 130, TUCSON, AZ 85714(520) 724-7770 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jordan Michael Bourg Md NPPES

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

DR. JORDAN MICHAEL BOURG MD (NPI 1942055041) is an individual family medicine provider in Tucson, Arizona, licensed in Arizona (R80998) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942055041

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JORDAN MICHAEL BOURGCredential: MD

Location Address3950 S COUNTRY CLUB RD STE 130Tucson, AZ 85714-2203

Mailing Address3950 S Country Club Rd Ste 130Tucson, AZ 85714-2203 · (520) 724-7770

Phone(520) 724-7770

Sole ProprietorNo

Enumeration DateApril 22, 2024

NPPES CertifiedApril 22, 2024

✔ NPI 1942055041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · R80998

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3950 S COUNTRY CLUB RD STE 130, Tucson, AZ 85714

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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 (PECOS)

Dr. Jordan Michael Bourg Md 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 85714 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

SYDNIE WEBER MD

Family Medicine