Adam Labree Bourgon, DO
Surgery Physician · Joint Base Langley-Eustis, VA
Practice location
633d Medical Group77 Nealy Ave
Joint Base Langley-Eustis, VA 23665-2040
- Phone
- (757) 764-6950
NPI record
- NPI
- 1659638575
- Entity type
- Individual (Type 1)
- Enumeration date
- April 17, 2012
- Last updated
- January 26, 2026
- Certified
- January 26, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Physician Primary | 208600000X |
02004369A | IN |
| Surgery Physician | 208600000X |
0102205429 | VA |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
| Surgery Physician | 208600000X |
74912 | WI |
Mailing address
PO Box 5074Sioux Falls, SD 57117-5074
Other practice locations (3)
- 3015 3rd Ave SE, Aberdeen, SD 57401-5418 · (605) 226-5500
- Aspirus Doctors Clinics, 2031 Peach Street, Wisconsin Rapids, WI 54494 · (715) 423-0122
- 109 Philip Roth St, Newport News, VA 23606-1393 · (757) 873-6434
About Dr. Bourgon
Adam Labree Bourgon, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 633d Medical Group, 77 Nealy Ave, Joint Base Langley-Eustis, VA 23665-2040. The NPI number 1659638575 was assigned on April 17, 2012 and the record was last updated on January 26, 2026.
Dr. Bourgon lists 3 licenses in the registry: #02004369A (IN) for Surgery Physician; #0102205429 (VA) for Surgery Physician; #74912 (WI) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Adam Labree Bourgon, DO?
The NPI number is 1659638575.
What is the phone number of Dr. Bourgon?
The phone number listed for the practice location is (757) 764-6950.
Where is Dr. Bourgon located?
633d Medical Group, 77 Nealy Ave, Joint Base Langley-Eustis, VA 23665-2040.
What is the taxonomy code for Dr. Bourgon?
The primary taxonomy code is 208600000X – Surgery Physician; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.