Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADAM LABREE BOURGON, DO
ActiveADAM LABREE BOURGON, DO is a General Surgery healthcare provider located in JOINT BASE LANGLEY-EUSTIS, Virginia. NPI 1659638575 is currently active in the NPPES registry. Verify at CMS.
General Surgery · JOINT BASE LANGLEY-EUSTIS, VA
Registration Details
- NPI Number
- 1659638575
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2012 (14.31679613288 yrs)
- Last Updated
- Jan 26, 2026
- Licenses
-
02004369A (IN)0102205429 (VA)74912 (WI)
Practice Information
- Address
-
633D MEDICAL GROUP77 NEALY AVEJOINT BASE LANGLEY-EUSTIS, VA, 236652040Browse VA providers · Browse ZIP 23665
- Phone
- 7577646950
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- General Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.