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

Dr. Larry Avis Bourg, MD

Individual provider Specialist · NPI 1205800182

Dr. Larry Avis Bourg, MD is a Specialist in Parker, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
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

12230 Lioness Way
Parker, CO 80134-5603
Phone: (720) 644-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 39560 (CO)

Record details

NPI number1205800182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 15, 2006
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address9250 E Costilla Ave Ste 540, Greenwood Village, CO 80112-3648

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