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

Douglas Rene Bourgon, MD

Individual provider Specialist · NPI 1730138876

Douglas Rene Bourgon, MD is a Diagnostic Radiology in San Francisco, California. Graduated from Wayne State University School of Medicine in 1999, 27 years ago. Practices with Colorado Imaging Associates P C, a 61-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
27
Trained at
Wayne State University School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

450 Stanyan St
San Francisco, CA 94117-1019
Phone: (415) 750-5687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A85247 (CA)
Specialist Taxonomy 174400000X · Licence 985247 (CA)

Record details

NPI number1730138876
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESJuly 9, 2015

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Colorado Imaging Associates P C — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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