Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Thad Alexander Bourque , MD

Urology โ€ข Lafayette, LA

Active NPI 1912093709 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

120 Rue Louis Xiv, Bldg 2
Lafayette, LA 705085783

Call 3372336665 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

120 Rue Louis Xiv, Bldg 2

Lafayette, LA 705085783

Telephone 3372336665
Fax 3375340179
Organization at the Same NPPES Address or Phone
Edward F. Breaux Md A Professional Corporation Facility NPI 1326209628

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Southern Urology Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Louisiana State University School Of Medicine In Shreveport

Graduation Year

1991

Medicare patients

1,218 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $744,144 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $585,311 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

7,218 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$5,272,098 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,319.67 across 50 records.

By nature of payment

  • Food and Beverage: $1,184.62 across 48 records.
  • Education: $135.05 across 2 records.

Reporting-company totals (3 largest of 15)

  • BIOPROTECT MEDICAL, INC.: $197.55 across 4 records.
  • Janssen Pharmaceuticals, Inc: $191.00 across 6 records.
  • Ferring Pharmaceuticals Inc.: $165.18 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

35 years (graduated 1991)

CMS Doctors and Clinicians data list 1991 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Bourque has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Bourque as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lafayette and Louisiana

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Urology in Louisiana (2024, 133 clinicians with data). Median for this group: 1,388. Middle half: 413 to 5,914.

Too few clinicians listed under Urology in Lafayette have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Urology in Louisiana (2024, 133 clinicians with data). Median for this group: $86,721. Middle half: $33,513 to $203,825.

Too few clinicians listed under Urology in Lafayette have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Urology in Louisiana (2024, 133 clinicians with data). Median for this group: $67,287. Middle half: $25,525 to $148,218.

Too few clinicians listed under Urology in Lafayette have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Urology in Lafayette, LA (2024, 11 clinicians with data). Median for this group: 2,533. Middle half: 1,536 to 3,967.

More Part D prescriptions than 90% of clinicians listed under Urology in Louisiana (2024, 144 clinicians with data). Median for this group: 1,611. Middle half: 741 to 2,586.

Part D drug cost

A higher Part D drug cost than 95% of clinicians listed under Urology in Lafayette, LA (2024, 11 clinicians with data). Median for this group: $162,071. Middle half: $56,731 to $274,162.

A higher Part D drug cost than 95% of clinicians listed under Urology in Louisiana (2024, 144 clinicians with data). Median for this group: $162,183. Middle half: $54,631 to $384,983.

11 active clinicians are listed under Urology with a practice address in Lafayette, LA (200 in Louisiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lafayette

9.1% of these 11 clinicians have the CMS telehealth indicator.

100% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 50 records totaling $1,319.67.

Manufacturer Payment Nature Product Type Amount ($)
BIOPROTECT MEDICAL, INC.
Food and Beverage
In-kind items and services
BIOPROTECT BALLOON IMPLANT SYSTEM General $140.99
Janssen Pharmaceuticals, Inc
Education
In-kind items and services
ERLEADA General $99.99
Ferring Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
ADSTILADRIN General $85.63
Ferring Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
ADSTILADRIN General $79.55
Laborie Medical Technologies Corp.
Food and Beverage
Cash or cash equivalent
โ€” General $53.00
AstraZeneca Pharmaceuticals LP
Education
In-kind items and services
IMFINZI General $35.06
Ethicon Inc.
Food and Beverage
In-kind items and services
STRATAFIX General $34.76
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $29.69
Dendreon Pharmaceuticals LLC
Food and Beverage
In-kind items and services
PROVENGE General $24.89
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
ORGOVYX General $24.68
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $24.09
BIOPROTECT MEDICAL, INC.
Food and Beverage
In-kind items and services
BIOPROTECT BALLOON IMPLANT SYSTEM General $22.65
BIOPROTECT MEDICAL, INC.
Food and Beverage
In-kind items and services
BIOPROTECT BALLOON IMPLANT SYSTEM General $22.60
Dendreon Pharmaceuticals LLC
Food and Beverage
In-kind items and services
PROVENGE General $22.03
Dendreon Pharmaceuticals LLC
Food and Beverage
In-kind items and services
PROVENGE General $21.96
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $21.87
Ethicon Inc.
Food and Beverage
In-kind items and services
EVARREST General $21.80
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $21.54
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $21.45
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $20.89
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $20.49
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $20.26
Astellas Pharma US Inc
Food and Beverage
In-kind items and services
Xtandi General $18.95
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $17.98
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
LYNPARZA General $17.82

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg
32,050 15 $1.00 $0.02
J0585 Injection, onabotulinumtoxina, 1 unit
1,700 14 $15.00 $6.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
1,440 945 $250.00 $123.11
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
1,023 735 $48.00 $16.13
J1952 Leuprolide injectable, camcevi, 1 mg
924 16 $350.00 $57.31
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
796 118 $180.00 $60.73
36415 Insertion of needle into vein for collection of blood sample
733 498 $20.00 $8.65
81003 Automated urinalysis test
681 461 $30.00 $2.20
84153 Psa (prostate specific antigen) measurement, total
620 469 $60.00 $17.97
81001 Manual urinalysis test with examination using microscope, automated
492 304 $30.00 $3.09
J0696 Injection, ceftriaxone sodium, per 250 mg
472 110 $30.00 $0.45
96372 Injection of drug or substance under skin or into muscle
305 127 $57.00 $13.56
84403 Testosterone (hormone) level, total
248 191 $80.00 $25.21
51798 Ultrasound measurement of bladder capacity after voiding
226 188 $52.00 $10.07
87084 Screening test for pathogenic organisms with colony count
223 147 $45.00 $26.42
80053 Blood test, comprehensive group of blood chemicals
216 118 $53.00 $10.31
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
202 77 $147.77 $46.32
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test
152 107 $28.00 $6.31
J9217 Leuprolide acetate (for depot suspension), 7.5 mg
141 17 $4000.00 $165.04
52000 Diagnostic exam of bladder and urethra using an endoscope
130 106 $580.00 $219.90
A4648 Tissue marker, implantable, any type, each
128 69 $461.80 $229.86
87184 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral)
116 76 $30.00 $7.33
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
115 105 $165.74 $87.31
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month
93 21 $180.00 $60.20
55874 Injection of biodegradable material next to prostate
83 82 $7500.00 $2575.53

(top 25 shown)

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tamsulosin Hcl Tamsulosin Hcl 1,017 59,692 $12,332.01 237
Abiraterone Acetate Abiraterone Acetate 897 27,150 $1,834,678.64 149
Prednisone Prednisone 861 29,207 $2,791.81 141
Finasteride Finasteride 403 29,198 $6,255.37 104
Oxybutynin Chloride Er Oxybutynin Chloride 293 13,388 $6,363.66 84
Gemtesa Vibegron 137 4,802 $74,837.91 28
Myrbetriq Mirabegron 127 5,045 $74,811.97 25
Nubeqa Darolutamide 116 3,480 $1,487,170.08 22
Cefuroxime Cefuroxime Axetil 100 1,522 $1,663.56 76
Xtandi Enzalutamide 94 2,820 $1,230,237.36 12
Orgovyx Relugolix 91 2,704 $230,356.93 29
Ciprofloxacin Hcl Ciprofloxacin Hcl 77 664 $488.88 62
Testosterone Cypionate Testosterone Cypionate 70 2,015 $1,315.81 14
Methenamine Hippurate Methenamine Hippurate 63 2,520 $3,360.45 12
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 59 2,226 $2,041.41 27
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 57 232 $217.30 47
Nitrofurantoin Nitrofurantoin Macrocrystal 52 2,601 $2,205.61 22
Potassium Citrate Er Potassium Citrate 45 2,430 $3,390.99 11
Estradiol Estradiol 39 3,010 $2,639.73 22
Dutasteride Dutasteride 31 1,950 $1,008.69 โ€”
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 28 755 $178.79 18
Silodosin Silodosin 24 1,380 $2,120.00 โ€”
Erleada Apalutamide 21 630 $287,746.35 โ€”
Solifenacin Succinate Solifenacin Succinate 20 1,200 $819.32 โ€”
Alfuzosin Hcl Er Alfuzosin Hcl 19 1,350 $465.07 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-15
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

License # reported to NPPES LA MD.021311

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES LA 021311

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Louisiana State Board of Medical Examiners.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1680974 (LA)
Other Identifier Blue Cross Blue Shield
C5115 (LA)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - UROLOGY

Medicare Enrollment ID

I20080924000225

Enrollment State Jurisdiction

LA

PECOS Control ID

4789763954

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Southern Urology Llc

1926 S Union St, Opelousas, LA 705705725

Phone: 3375944025

Southern Urology Llc

120 Rue Louis Xiv, Lafayette, LA 705085739

Phone: 3376001678

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
NPI 1659469542

Doctor of Medicine (M.D.)

Jessica Champagne , FNP

Nurse Practitioner - Family

NPI 1841888914

Family Nurse Practitioner

NPI 1467540344

Doctor of Medicine (M.D.)

NPI 1376109991

Doctor of Medicine (M.D.)

Jacqueline Frye , APRN, FNP-C

Nurse Practitioner - Family

NPI 1396254447

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1770110868

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
๐Ÿ“
Updated Practice Location April 15, 2026

Registered at 120 RUE LOUIS XIV, BLDG 2, LAFAYETTE, LA 705085783 (Tel: 3372336665)

๐Ÿ“
Updated Business Mailing Address April 15, 2026

Registered at 120 RUE LOUIS XIV, BLDG 2, LAFAYETTE, LA 705085783 (Tel: 3372336665)

๐Ÿ‘ค
Provider Name / Credentials Updated April 15, 2026

Recorded as THAD BOURQUE, MD

โœ…
NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location June 29, 2017

Registered at 1103 KALISTE SALOOM RD, SUITE 200, LAFAYETTE, LA 705085783 (Tel: 3379881803)

๐Ÿ“
Updated Business Mailing Address June 29, 2017

Registered at 120 RUE LOUIS XIV, LAFAYETTE, LA 705085783 (Tel: 3377697779)

๐Ÿ‘ค
Provider Name / Credentials Updated June 29, 2017

Recorded as THAD BOURQUE, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Specialist (license number reported to NPPES: LA 021311)

โœ…
NPI Profile Active February 04, 2011

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) February 04, 2011

Registered at 1103 KALISTE SALOOM RD, SUITE 200, LAFAYETTE, LA 705085783 (Tel: 3379881803)

๐Ÿ“
Business Mailing Address (Initial Record) February 04, 2011

Registered at 120 RUE LOUIS XIV, LAFAYETTE, LA 705085783 (Tel: 3377697779)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) February 04, 2011

Recorded as THAD BOURQUE, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2011

Specialist (license number reported to NPPES: LA 021311)

๐ŸŸข
Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912093709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2006
Last Update: April 15, 2026
Sole Proprietor: No

Other Urology Specialists in Lafayette

All Urology Specialists in Lafayette

Mailing Address

120 Rue Louis Xiv, Bldg 2

Lafayette, LA 705085783

Phone: 3372336665

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.