Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215992870 Individual Practitioner Male Practitioner

Dr. David M Bourassa , MD

Pediatrics • Woonsocket, RI

Professional Overview & Biography Verified Profile Summary

Dr. David Bourassa, MD is a registered healthcare professional specializing in Pediatrics in Woonsocket, RI. Practice services are available at 450 CLINTON STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

450 Clinton Street

Woonsocket, RI 02895

Telephone 4017674100
Fax 4012356894
Associated Practice Facility / Clinic
🏢 Thundermist Health Center Facility NPI 1588691620

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Woonsocket, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Woonsocket, RI (340 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-29
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License RI MD09354

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7005698 (RI)

Secondary Practice Locations

186 Providence St

West Warwick, RI 028932508

Phone: 4017674100

360 Kingstown Rd

Narragansett, RI 028823258

Phone: 4017896492

1 River St

Wakefield, RI 028793214

Phone: 4017674100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Laura Woods , LICSW

Social Worker - Clinical

NPI 1003265802

Licensed Independent Clinical Social Worker

Mary Rose , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003901497

Psychiatric-Mental Health Nurse Practitioner

Dr. Deborah Rich , MD

Internal Medicine

NPI 1023050531

Doctor of Medicine (M.D.)

Dr. Matthew Malek , MD

Family Medicine

NPI 1023307162

Doctor of Medicine (M.D.)

Kerri Hebert , FNP-C

Nurse Practitioner - Family

NPI 1033006580

Family Nurse Practitioner (Certified)

NPI 1033807466

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 29, 2018

Registered at 450 CLINTON STREET, WOONSOCKET, RI 02895 (Tel: 4017674100)

📍
Updated Business Mailing Address March 29, 2018

Registered at 171 SERVICE AVENUE, WARWICK, RI 02886 (Tel: 4017674100)

👤
Provider Name / Credentials Updated March 29, 2018

Recorded as DAVID BOURASSA, M.D.

NPI Profile Active January 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2012

Registered at 450 CLINTON, THUNDERMIST HEALTH CENTER, WOONSOCKET, RI 02895 (Tel: 4017674100)

📍
Updated Business Mailing Address January 05, 2012

Registered at 450 CLINTON ST, THUNDERMIST HEALTH CENTER, WOONSOCKET, RI 028953207 (Tel: 4017674100)

👤
Provider Name / Credentials Updated January 05, 2012

Recorded as DAVID BOURASSA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2012

Pediatrics (License #MD09354 in RI)

🟢
Initial NPI Registration & Enumeration April 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215992870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2006
Last Update: October 29, 2025
Sole Proprietor: No

Mailing Address

171 Service Avenue

Warwick, RI 02886

Phone: 4017674100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.