NPPES file of Aug 9, 2026

Justin Bourque, PA-C

Surgical Physician Assistant · Stamford, CT

Justin Bourque, PA-C is a surgical physician assistant with a practice address in Stamford, Connecticut, and NPI 1649089087, issued on Dec 31, 2024. Check the license (Connecticut 6945, as entered in NPPES) with the Connecticut board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1649089087
Name
Justin Bourque
Credential
PA-C
Primary taxonomy
Surgical Physician Assistant 363AS0400X
License number
6945 CT
Self-reported in NPPES; status is on the state search
Practice location
1 Hospital Plz, Stamford, CT 06902
Phone
(203) 279-7022
Enumerated
Dec 31, 2024
Record last updated
Mar 7, 2025
Fax
(203) 276-5560
Medicare enrollment
Enrolled (PECOS I20250311002231); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1 Hospital Plz

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Seun Adeyemi-Jones, M.D.Internal Medicine Physician1811335821
  2. Mathias Aihiokhai, PA-CPhysician Assistant1003270497
  3. Kiana AkhundzadehStudent in an Organized Health Care Education/Training Program1558115584
  4. Rachael AldermanStudent in an Organized Health Care Education/Training Program1912891318
  5. Kelsey AllenMedical Physician Assistant1326774282
  6. Micah Ambrose, DOEmergency Medicine Physician1962999482

Verify Justin Bourque in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Connecticut board licenses this profession
    Search for license 6945
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Connecticut license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Stamford Health Medical Group IncStamford, CT

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Justin Bourque among 808 surgical physician assistant records in Connecticut

Justin Bourque, PA-C is one of 808 surgical physician assistant records with a practice address in Connecticut. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 91% of them.

  • NPI issued2024 · 91% of these records are older, 5% newer
  • In a Medicare fileYes · 90% of these records are
  • In the CMS Doctors and Clinicians fileYes · 80% of these records are
  • Graduated2024 · median 2016 among the 646 with a school on file
  • Record last updated2025 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

39 surgical physician assistant records list a practice address in Stamford

They are 39 of the 2,774 NPPES records with a practice address in Stamford, and 808 surgical physician assistant records in Connecticut.

The 8 surgical physician assistant records with the nearest ZIP codes

  1. Erin Anderson, PA-CStamford, CT 069021649579558
  2. Genie Ball, PA-CStamford, CT 069021841475126
  3. Tammie Emmons, PA-CStamford, CT 069021316084106
  4. Diane Goodwin, PA-CStamford, CT 069021053467605
  5. Timothy Hansen, P.A.-C.Stamford, CT 069021184845000
  6. Gregory Jenkins, PAStamford, CT 069021023205358
  7. Barbara Kohn, PA-CStamford, CT 069021104947969
  8. Teresa Luong, RPA-CStamford, CT 069021265700298

Common questions

What is Justin Bourque, PA-C's NPI number?

Justin Bourque, PA-C's National Provider Identifier (NPI) is 1649089087, issued on Dec 31, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Justin Bourque, PA-C located?

The NPPES record lists a practice address at 1 Hospital Plz, Stamford, CT, 06902. Phone: (203) 279-7022. Providers update this record themselves, so call before visiting.

How can I verify Justin Bourque, PA-C's license?

NPPES lists Connecticut license number 6945, as entered by the provider. Search the Connecticut board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.