Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jeffery R Bourgerie, O.D.
Optometrist in Medford, WI · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1164409348
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Jeffery R Bourgerie
Credential O.D.
Sex Male
Practice address 309 E Broadway Ave, Medford, WI, 54451
Phone (715) 748-2020
Fax (715) 748-4565
Enumeration date Dec 28, 2005
Last updated in NPPES Mar 7, 2023
Taxonomy & licenses
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38715300 | Medicaid | WI | - |
| 37815100 | Medicaid | WI | - |
| 39-1229699 | Other | WI | FEDERAL TAX ID-MEDFORD |
| 391229699015 | Other | WI | BLUE CROSS BLUE SHIELD-ME |
| 0474980001 | Other | WI | DMERC-MEDFORD GROUP |
| 10445 | Other | WI | NVA-MEDFORD |
| 410045063 | Other | WI | RAILROAD MEDICARE-COLBY |
| 1271670001 | Other | WI | DMERC-COLBY GROUP |
| 21143 | Other | WI | SECURITY HEALTH PLAN-MEDF |
| 2228 | Other | WI | LICENSE NUMBER |
| 39-1967186 | Other | WI | FEDERALTAX ID-COLBY |
| 38581200 | Medicaid | WI | - |
| 391967186091 | Other | WI | BLUE CROSS BLUE SHIELD-CO |
| 410015253 | Other | WI | RAILROAD MEDICARE-MEDFORD |
| 63857 | Other | WI | SECURITY HEALTH PLAN-COLB |
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.
Frequently asked questions
What is the NPI number for Jeffery Bourgerie?
The National Provider Identifier (NPI) for Jeffery Bourgerie is 1164409348, a Type 1 (individual) record in the CMS NPPES registry.
Where does Jeffery Bourgerie practice?
The practice location on file with NPPES is in Medford, WI. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.