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

Brian Bourgeault, PA

Individual provider Medical Physician Assistant · NPI 1962651604

Brian Bourgeault, PA is a Physician Assistant in Springfield, Massachusetts. Qualified in 2008, 18 years ago. Practices with Baystate Medical Practices Inc, a 1,346-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
18
Licensed in
MA
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11 Wilbraham Road 2nd Fl
Springfield, MA 01109-3161
Phone: (413) 794-2511
Fax: (413) 794-8428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2603 (MA)

Record details

NPI number1962651604
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 18, 2008
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address280 Chestnut St, 2nd Floor, Springfield, MA 01199-1000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Baystate Medical Practices Inc — 1346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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