Justin Bourque, PA-C
NPI 1649089087 · Surgical Physician Assistant · Stamford, CT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Bourque, PA-C is a Surgical Physician Assistant provider in Stamford, CT (NPI 1649089087).
Provider details
- NPI number
- 1649089087
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 6945 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-31
- Last updated
- 2025-03-07
- Certified
- 2025-03-07
Frequently asked questions
- What is Justin Bourque's NPI number?
- Justin Bourque's National Provider Identifier (NPI) is 1649089087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Bourque's specialty?
- Justin Bourque is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Justin Bourque located?
- Justin Bourque's practice location on file with NPPES is 1 Hospital Plz, Stamford, CT 06902-3602.
- What is Justin Bourque's phone number?
- The practice phone number listed in the NPPES registry for Justin Bourque is (203) 279-7022.
- Does Justin Bourque accept Medicare?
- Justin Bourque is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Bourque's NPI active?
- Yes — Justin Bourque's NPI (1649089087) is active in the NPPES registry as of the last update on 2025-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.