Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Irene M. Bourgault DO PC

Organization Family Medicine Physician · NPI 1255511739

Irene M. Bourgault DO PC is a Family Medicine Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2007.

Licensed in
NV
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3150 N Tenaya Way Ste 660
Las Vegas, NV 89128-0460
Phone: (702) 648-6228
Fax: (702) 648-9868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 350 (NV)

Record details

NPI number1255511739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Irene Bourgault — Owner · (702) 648-6228
NPI enumeratedNovember 13, 2007
Last updated in NPPESDecember 18, 2007
Mailing address3150 N Tenaya Way Ste 660, Las Vegas, NV 89128-0460

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