P Praxis·MD
● Active Type 1 · Individual

Michael Bourgeois, M.D.

Pediatrics·Lubbock, TX· NPI 1457342842 · Enumerated 2005 · 20 years on NPI
Bourgeois is 1 of 3 pediatrics providers in Lubbock and 1 of 152 in Texas.
NPI age
20 years
Enumerated 2005-11-03
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 152 active pediatrics providers in Texas.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
1
In the 49% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
4102 24th St Ste 507
Lubbock, TX 794101805
📞 8067437334fax 8067437332
Mailing address
Po Box 5865
Lubbock, TX 794085865
📞 8067432898fax 8067432787

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3601 4th St
Lubbock, TX 794300002
📞 8067437337fax 8067437329

Specialties

  • Pediatrics Primary
    A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth...
    TX license #F5842 taxonomy 2080P0205X
  • Hospitalist
    Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term...
    TX license #F5842 taxonomy 208M00000X

Identifiers

TypeValueNotes
01 (TX) 460001727 RAILROAD
01 (NM) A119 TRIWEST
05 (TX) 138369704
05 (NM) V2944
05 (OK) 100086010B
01 (NM) 36233 PRESBYTERIAN COMMERCIAL
01 (TX) 108958105 FIRSTCARE COMMERCIAL
05 (TX) 138369711
05 (NM) 36233
01 (TX) 89C152 BC/BS
01 (TX) 80822Z HMO BLUE

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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