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

Kirk Bourgeois, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1093985103

Kirk Bourgeois, MD is a Pathology in Jacksonville, Florida. Graduated from Louisiana State University School of Medicine in New Orleans in 2007, 19 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group and accepts Medicare assignment. Licensed in Florida and Louisiana.

Years since qualifying
19
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
FL, LA
In the registry since
2008
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence ME116850 (FL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence PGY.1.LSUN-PATH (LA)

Record details

NPI number1093985103
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 4, 2008
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2007 (19 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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