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

Dr. Paul Robert Bourguignon, MD

Individual provider Vascular Surgery Physician · NPI 1154372175

Dr. Paul Robert Bourguignon, MD is a General Surgery in New London, Connecticut. Graduated from University of California, Davis School of Medicine in 1994, 32 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
32
Trained at
University of California, Davis School of Medicine
Licensed in
CT
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

50 Fair Harbour Pl Ste 2C
New London, CT 06320-4731
Phone: (860) 443-3147
Fax: (860) 443-0087
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 038703 (CT)

Record details

NPI number1154372175
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESMay 8, 2009
Mailing address50 Fair Harbour Pl, Suite 2c, New London, CT 06320-4731

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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