Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRIAN BOURGEAULT PA
NPI 1962651604
Physician Assistant - Medical in Springfield, MA

Q: What is Brian Bourgeault's NPI number?

The NPI number for Brian Bourgeault is 1962651604. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Q: What is Brian Bourgeault's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Brian Bourgeault was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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 September 18, 2008PECOS EnrolledAccepts Medicare Assignment

11 WILBRAHAM ROAD, 2ND FLOOR, SPRINGFIELD, MA 01109(413) 794-2511(413) 794-8428 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Brian Bourgeault Pa NPPES

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

BRIAN BOURGEAULT PA (NPI 1962651604) is an individual medical provider in Springfield, Massachusetts, licensed in Massachusetts (2603) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Baystate Noble Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1962651604

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameBRIAN BOURGEAULTCredential: PA

Location Address11 WILBRAHAM ROAD, 2ND FLOORSpringfield, MA 01109-3161

Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1000 · (413) 794-5700

Phone(413) 794-2511

Fax(413) 794-8428

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateSeptember 18, 2008

Last NPPES UpdateJune 18, 2026

NPPES CertifiedJune 18, 2026

✔ NPI 1962651604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MA · 2603

11 WILBRAHAM ROAD, Springfield, MA 01109

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Accepted Insurance

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

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

Brian Bourgeault Pa 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 ID1850459306

PECOS Enrollment IDI20081028000172

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

137 services70 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

61 services50 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

28 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220065

Location115 West Silver StreetWestfield, MA 01085 · Hampden County

Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers46 claims72 services$5.95 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers20 claims20 services$0.91 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier12 claims24 services$5.84 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers12 claims12 services$1.56 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers20 claims20 services$184.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

STEPHEN A AKINFENWA MD

Internal Medicine

11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109

Hampden County (413) 794-2511

DR. KATHRYN A JOBBINS D.O.

Internal Medicine

11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109

Hampden County (413) 794-2511

SUDEEP K AULAKH M.D.

Internal Medicine

11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109

Hampden County (413) 794-2511

DR. ZAID OBAIDA MD

Internal Medicine

11 WILBRAHAM ROAD, 2ND FLOOR
MANASSAS, MA 01109

Hampden County (413) 794-2511

CINDY THOMPSON APRN

Nurse Practitioner (Primary Care)

11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109

Hampden County (413) 794-2511

AMANDA A. WESTLAKE M.D.

Internal Medicine

11 WILBRAHAM ROAD
SPRINGFIELD, MA 01109

Hampden County (413) 794-3710

BRIDIE CURRAN CNP

Nurse Practitioner (Adult Health)

11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109

Hampden County (413) 794-2511

AMANDA L WHITEHOUSE MD

Internal Medicine

11 WILBRAHAM ROAD, 2ND FLOOR
SPRINGFIELD, MA 01109

Hampden County (413) 794-2511

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 Brian Bourgeault's NPI number?

The NPI number for Brian Bourgeault is 1962651604. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Where is Brian Bourgeault located?

Brian Bourgeault practices at 11 Wilbraham Road 2nd Floor, Springfield, MA 01109. The listed phone number is (413) 794-2511.

What is Brian Bourgeault's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brian Bourgeault enrolled in Medicare?

Yes. Brian Bourgeault 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.

What insurance does Brian Bourgeault accept?

Health plans from Anthem Blue Cross and Blue Shield list Brian Bourgeault 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.

Is Brian Bourgeault affiliated with any hospitals?

According to CMS data, Brian Bourgeault is affiliated with Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Bourgeault was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.