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

Thad Alexander Bourque, MD

Individual provider Specialist · NPI 1912093709

Thad Alexander Bourque, MD is an Urology in Lafayette, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1991, 35 years ago. Practices with Southern Urology LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
35
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2006
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

120 Rue Louis Xiv Bldg 2
Lafayette, LA 70508-5783
Phone: (337) 233-6665
Fax: (337) 534-0179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD.021311 (LA)
Specialist Taxonomy 174400000X · Licence 021311 (LA)

Record details

NPI number1912093709
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address120 Rue Louis Xiv, Bldg 2, Lafayette, LA 70508-5783

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1991 (35 years in practice)
Group practice Southern Urology Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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