Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Marlon Bourque

Case Manager/Care Coordinator in Vidalia, LA · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124484183

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Registry record

Entity type Individual (Type 1)

Name Marlon Bourque

Sex Male

Practice address 1109 Carter St, Suite 10, Vidalia, LA, 71373

Phone (318) 336-4700

Fax (318) 336-4777

Enumeration date Jan 6, 2016

Last updated in NPPES May 7, 2019

Taxonomy & licenses

171M00000X Case Manager/Care Coordinator Other Service Providers Primary

Other identifiers

Identifier	Type	State	Issuer
1561444	Medicaid	LA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Marlon Bourque practice?

The practice location on file with NPPES is in Vidalia, LA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Marlon Bourque?

The National Provider Identifier (NPI) for Marlon Bourque is 1124484183, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-05-07.