Gay Gele' Bourgeois, RPSGT, CCSH, RST
Individual provider Active NPI Sleep Disorder Diagnostic Clinic/Center · Lafayette, LA
NPI 1104413004 · NPPES record last updated Dec 25, 2020
Key facts
- NPI
- 1104413004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center 261QS1200X
- License
- POLY.000176 (LA)
- Practice address
- 100 Asma Blvd Ste 205
Lafayette, LA 70508-3842 - Phone
- (337) 470-3477
- Fax
- (337) 289-5609
- NPI assigned
- Dec 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POLY.000176 | LA | MD | Sleep Disorder Diagnostic Clinic/Center |
Interoperability endpoints
- gay.bourgeois@fmolhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist |
246Z00000X | LA | ||
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | POLY.000176 | LA | Yes |
Addresses
Primary practice location
100 Asma Blvd Ste 205
Lafayette, LA 70508-3842
Mailing address
1036 Gleaux Dr
Breaux Bridge, LA 70517-3200
Phone (504) 231-4483
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Gay.Bourgeois@FMOLHS.org |
Other providers in Lafayette, LA
- Seddy Boura
- Maleah Bourda
- Kristen Kiser Bourg
- Adarian Shawntell Bourgeois
- David Anthony Bourgeois Jr.
- Marc B Bourgeois
- Richard J Bourgeois
- Trysten Theresa Bourgeois
- Janna Mae Bourque Cardona
- Daniel R Bourque
All providers in Lafayette, LA · Sleep Disorder Diagnostic Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.