KALA M. FRYE BOURQUE MD – NPI #1447719596
Emergency Medicine

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

KALA FRYE BOURQUE is a physician located in SPRINGFIELD, MA. NPPES has assigned the NPI number 1447719596 to KALA FRYE BOURQUE on March 18, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PP0204X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Pediatric Emergency Medicine

The NPI profile was last updated on Jun 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KALA FRYE BOURQUE below.

NPI Profile for
KALA M. FRYE BOURQUE

NPI Number
1447719596
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KALA M. FRYE BOURQUE
Credentials
MD
Primary location
759 CHESTNUT STREET
# S6538
SPRINGFIELD, MA 01107-1619
Phone: (413) 794-3233 Fax:
2 Other location(s):
111 Michigan Ave NW
Washington, DC 20010-2916
Phone: (202) 476-5000
600 N Wolfe St
Baltimore, MD 21287-0005
Phone: (603) 828-7248
Mailing address
280 CHESTNUT ST
2ND FLOOR
SPRINGFIELD, MA 01199-1001
Phone: (413) 794-5700 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jun 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.