Individual
DAVID BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 HOSPITAL DR, HOSPITALIST DEPARTMENT, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
(802) 748-4098
Mailing address
PO BOX 905, ST JOHNSBURY, VT 05819-0905
(802) 748-8141
(802) 748-4098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042.0007885
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009333
—
VT
05
—
3133920
—
NH
Enumeration date
09/06/2006
Last updated
01/08/2026
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