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

Gisele S Bouroncle, MD

Individual provider Family Medicine Physician · NPI 1205895406

Gisele S Bouroncle, MD is a Family Practice in Richfield, Minnesota. Qualified in 1987, 39 years ago. Practices with Hennepin Healthcare System Inc, a 903-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
39
Licensed in
MN
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

790 W 66th St
Richfield, MN 55423-2203
Phone: (612) 873-6963
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 38116 (MN)

Record details

NPI number1205895406
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2006
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing address701 Park Ave, Minneapolis, MN 55415-1623

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Hennepin Healthcare System Inc — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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