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

Dr. Irene Mary Bourgault, DO

Individual provider Family Medicine Physician · NPI 1164562120

Dr. Irene Mary Bourgault, DO is a Family Practice in Las Vegas, Nevada. Qualified in 1982, 44 years ago. Practices with Irene M. Bourgault DO PC, a 2-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
44
Licensed in
NV
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3150 N Tenaya Way 660
Las Vegas, NV 89128-0443
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 number1164562120
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESNovember 14, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Irene M. Bourgault Do Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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