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

Greg Bourdon, PA

Individual provider Physician Assistant · NPI 1154365914

Greg Bourdon, PA is a Physician Assistant in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2006.

Licensed in
MT
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

500 W Broadway St
Missoula, MT 59802-4008
Phone: (406) 327-1827
Fax: (406) 327-1697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 57553 (MT)

Record details

NPI number1154365914
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESMay 4, 2017
Mailing address500 W Broadway St, Missoula, MT 59802-4008

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