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

Dr. Jason Bourque, MD

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1659651214

Dr. Jason Bourque, MD is an Orthopedic Surgery in Bangor, Maine. Qualified in 2004, 22 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Maine.

Years since qualifying
22
Licensed in
CA, ME
In the registry since
2011
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

358 Broadway Ste 202
Bangor, ME 04401-3985
Phone: (207) 907-3690
Fax: (207) 907-3691
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence MD19268 (ME)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence A117876 (CA)

Record details

NPI number1659651214
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 26, 2011
Last updated in NPPESDecember 15, 2021
Mailing addressPo Box 934, Bangor, ME 04402-0934

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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