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

Mr. Earl Douglas Bourgoyne, BSCPO

Individual provider Orthotic Fitter · NPI 1114937000

Mr. Earl Douglas Bourgoyne, BSCPO is an Orthotic Fitter in Albuquerque, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153
Phone: (505) 256-2756
Show map & directions

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

Specialties & licences

Orthotic Fitter (primary) Taxonomy 225000000X

Record details

NPI number1114937000
Entity typeIndividual (Type 1)
GenderMale
Credentials BSCPO
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESJuly 8, 2007

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