Brian M. Bourgeois, M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

10467R Issued in LA

Practice address

200 Lapalco Blvd Ste 1-B
Gretna, LA 70056-7113

Phone

(504) 433-5070

Fax

(504) 433-5077

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Surgical Specialists, LLC

  • Surgery Physician
  • Marrero, LA
  • NPI 1245235274
  NPD (past)
• Westbank Industrial Medicine Clinic, LLC

  • Occupational Medicine Clinic/Center
  • Gretna, LA
  • NPI 1184722357
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023191244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAPALCO BLVD STE 1-B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567113",
            "telephone_number": "504-433-5070",
            "fax_number": "504-433-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LAPALCO BLVD STE 1-B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567113",
            "telephone_number": "504-433-5070",
            "fax_number": "504-433-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "BRIAN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "LA",
            "license": "10467R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Andrew Borchardt, MD
• Mario Jamal Borne
• Ashley Boudreaux
• Becky Ann Bourgeois, CRNA
• Brad Bourgeois
• Tammy Dore Bourque, RDN, LDN
• Leah Bowers, FNP
• Meghan Maureen Bowman, DPT
• Dionne M Bracken, MSW,CSW, M.A.
• Shemika Bradford

• Occupational Medicine Physician in Gretna, LA
• Providers in Gretna, LA by specialty
• Occupational Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.