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

Lisa Marie Meredith Bourbeau, DO

Individual provider Obstetrics Physician · NPI 1376003764

Lisa Marie Meredith Bourbeau, DO is an Obstetrics/Gynecology in Austin, Texas. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2019, 7 years ago. Practices with Austin Regional Clinic PA, a 397-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
TX
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11111 Research Blvd
Austin, TX 78759-5264
Phone: (512) 324-6000
Fax: (512) 406-7348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics Physician (primary) Taxonomy 207VX0000X · Licence U3794 (TX)

Record details

NPI number1376003764
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESAugust 4, 2023
Certification dateJune 20, 2023
Mailing address6210 E Hwy 290, Austin, TX 78723-1142

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2019 (7 years in practice)
Group practice Austin Regional Clinic Pa — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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