Individual Healthcare Provider
Jennifer Rebecca Enman-Bourgon, D.O.
Provider's NPPES record last updated: February 26, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1265789572
- Primary Specialty
- Obstetrics & Gynecology
- Practice Location
- Wisconsin Rapids, Wisconsin
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 11:43 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Obstetrics & Gynecology
Allopathic & Osteopathic Physicians
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Taxonomy code 207V00000X Student in an Organized Health Care Education/Training Program
Student, Health Care
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Taxonomy code 390200000X
Provider-Reported License Information
- Obstetrics & Gynecology (Wisconsin)
- 73626-21
- Obstetrics & Gynecology (Indiana)
- 020045038
Practice Locations
Practice Location
410 Dewey St
Wisconsin Rapids, Wisconsin 54494-4715
Phone: (715) 423-6060
Additional Practice Location
3015 3rd Ave Se
Aberdeen, South Dakota 57401-5418
Phone: (605) 226-5500
Record Information
- Enumeration Date
- August 7, 2012
- Provider's NPPES Record Last Updated
- February 26, 2026
- Certification Date
- February 26, 2026
- NPISignal NPPES Dataset
- August 2026
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