Thad Alexander Bourque, MD
Thad Alexander Bourque is a Urology Physician provider (Urology) practicing in Lafayette, LA, registered in the NPPES registry with NPI 1912093709 since 2006. The credential MD stands for Doctor of Medicine. Practices at Southern Urology, LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912093709 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Thad Alexander Bourque |
| Credential | MD |
| Sex | Male |
| Practice address | 120 RUE LOUIS XIV, BLDG 2, Lafayette, LA, 70508 |
| Phone | 3372336665 |
| Fax | 3375340179 |
| Enumeration date | 2006-10-05 |
| Last updated in NPPES | 2026-04-15 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Secondary | 021311 | LA |
| 208800000X | Urology Physician | Primary | MD.021311 | LA |
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 |
|---|---|---|---|
| C5115 | Other | LA | BLUE CROSS BLUE SHIELD |
| 1680974 | Medicaid | LA | — |
Copy-ready billing details
Provider: Thad Bourque, MD NPI: 1912093709 Taxonomy: 208800000X (Urology Physician) Address: 120 RUE LOUIS XIV, BLDG 2, Lafayette, LA, 70508
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740441955 | Southern Urology, LLC | Organization | Urology Physician | Lafayette, LA |
| 1770110868 | Seth Guilbeau | Individual | Urology Physician | Lafayette, LA |
| 1699473793 | Renee Lagrange | Individual | Family Nurse Practitioner | Lafayette, LA |
Verify this record
Cross-check NPI 1912093709 against the authoritative CMS record: view Thad Alexander Bourque on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Is NPI 1912093709 active?
How do I verify Thad Bourque's NPI record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-15.