Active NPI
Warren Roger Bourgeois III, M.D.
- Orthopaedic Surgery Physician
- Metairie, LA
National Provider Identifier
1063462968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 016725
- Practice address
- 3939 Houma Blvd
Suite 18
Metairie, LA 70006-2931 - Phone
- (504) 455-0093
- Fax
- (504) 454-3964
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 016725 | LA | Primary |
Addresses
Primary practice location
3939 Houma Blvd
Suite 18
Metairie, LA 70006-2931
Mailing address
3939 Houma Blvd
Suite 18
Metairie, LA 70006-2931
Phone (504) 455-0093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1931292 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016725 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Pharmacy and Wellness, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Ochsner Pharmacy and Wellness - Main Campus Atrium
- Clinic Pharmacy
- New Orleans, LA
- NPI 1518073824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1063462968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 HOUMA BLVD",
"address_2": "SUITE 18",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062931",
"telephone_number": "504-455-0093",
"fax_number": "504-454-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 HOUMA BLVD",
"address_2": "SUITE 18",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062931",
"telephone_number": "504-455-0093",
"fax_number": "504-454-3964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURGEOIS",
"first_name": "WARREN",
"middle_name": "ROGER",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "016725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1931292",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.