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NPI · 1164409348 · NPPES-sourced

Jeffery Bourgerie O.D.

ActiveOptometrist
NPI Number
1164409348
Type 1 · Individual
Taxonomy Code
152W00000X
Contact
(715) 748-2020
License WI · 2228
Last Updated
Enumerated
Primary practice addressWI · 54451-1835
309 E Broadway AveMedford, WI 54451-1835
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About this NPIWhat this record shows.

NPI 1164409348 is registered to Jeffery Bourgerie O.D., a Optometrist practising at 309 E Broadway Ave in Medford, Wisconsin. Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jeffery Bourgerie O.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 39-1229699WI· Issued by FEDERAL TAX ID-MEDFORD
  • 391229699015WI· Issued by BLUE CROSS BLUE SHIELD-ME
  • 0474980001WI· Issued by DMERC-MEDFORD GROUP
  • 10445WI· Issued by NVA-MEDFORD
  • 410045063WI· Issued by RAILROAD MEDICARE-COLBY
  • 1271670001WI· Issued by DMERC-COLBY GROUP
  • 21143WI· Issued by SECURITY HEALTH PLAN-MEDF
  • 2228WI· Issued by LICENSE NUMBER
  • 39-1967186WI· Issued by FEDERALTAX ID-COLBY
  • 391967186091WI· Issued by BLUE CROSS BLUE SHIELD-CO
  • 410015253WI· Issued by RAILROAD MEDICARE-MEDFORD
  • 63857WI· Issued by SECURITY HEALTH PLAN-COLB

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jeffery Bourgerie O.D. accepts. To confirm in-network status with your specific health plan, contact Jeffery Bourgerie O.D. directly at (715) 748-2020.

Frequently asked

Yes. NPI 1164409348 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (715) 748-2020.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jeffery Bourgerie O.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy152W00000X
Last updated
Enumerated
StatusActive
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3 records · same addressOther providers at this location.

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Same specialtyOther Optometrist providers in Wisconsin.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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