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Thad Alexander Bourque, MD

Urology Physician in Lafayette, LA · enumerated 2006 · practices at Southern Urology, LLC.

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

National Provider Identifier

1912093709

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Registry record

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 (337) 233-6665
Fax (337) 534-0179
Enumeration date Oct 5, 2006
Last updated in NPPES Apr 15, 2026

Taxonomy & licenses

174400000X Specialist Other Service Providers · License 021311 (LA) Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians · License MD.021311 (LA) Primary
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 -

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

Is NPI 1912093709 active?
Yes, as of the latest NPPES snapshot, NPI 1912093709 is active (record last updated 2026-04-15).
How do I verify Thad Bourque's NPI record?
Cross-check NPI 1912093709 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-04-15.