Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Larry Avis Bourg, M.D.
Specialist in Parker, CO · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1205800182
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Dr. Larry Avis Bourg
Credential M.D.
Sex Male
Practice address 12230 Lioness Way, Parker, CO, 80134
Phone (720) 644-9355
Enumeration date Feb 15, 2006
Last updated in NPPES Aug 8, 2023
Taxonomy & licenses
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure.
About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93909365 | Medicaid | CO | - |
| 013365 | Other | CO | KAISER COMMERCIAL NUMBER |
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 specialty is Larry Bourg?
Larry Bourg is registered in NPPES with the primary taxonomy of Specialist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Other providers at this practice address
Browse all → Thomas Sweder Family Medicine Physician · Parker, CO NPI 1629050091 Fernando Thadepalli Internal Medicine Physician · Parker, CO NPI 1821075821 Diego Freitas Internal Medicine Physician · Parker, CO NPI 1487634481 Elizabeth Clark Family Medicine Physician · Parker, CO NPI 1134195993 Diana Brightbill Internal Medicine Physician · Parker, CO NPI 1396713244 John Morrison Family Medicine Physician · Parker, CO NPI 1720049604 Jill Castro Physical Medicine & Rehabilitation Physician · Parker, CO NPI 1982669198 Sherri Stuart Medical Physician Assistant · Parker, CO NPI 1396700324
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-08.