Jenna M. Bourgeois, MD, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

JENNA M. BOURGEOIS, MD, LLC

Practice address

8777 Bluebonnet Blvd
Baton Rouge, LA 70810-2975

Phone

(225) 766-1899

Fax

(225) 659-8031

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

Jenna Martin Biurgeois, MD

Title

Managing Member

Phone

(225) 766-1899

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Martin Bourgeois, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Baton Rouge, LA
  • NPI 1942590153
  Medicare reassignment NPD
• Andrew C Freel, M.D.

  • Plastic Surgery Physician
  • Baton Rouge, LA
  • NPI 1538350236

  Plastic and Reconstructive Surgery

  NPD (past)
• Kaley McClure, CRNA

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
  • NPI 1023649803
  NPD (past)
• John Vincent Williams, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Baton Rouge, LA
  • NPI 1629112560
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1215507223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102975",
            "telephone_number": "225-766-1899",
            "fax_number": "225-659-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102975",
            "telephone_number": "225-766-1899",
            "fax_number": "225-659-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNA M. BOURGEOIS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "BIURGEOIS",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-766-1899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Delane Jenkins, CRNA
• Shantel T Jenkins, RN
• Shantreuna Jenkins
• Tatia Lxchelle Jenkins
• Tyra Jenkins
• Jennifer Rome DDS LLC
• Beverly Ann Jennings
• Silas T Jennings, DC
• Spencer Jennings
• Jeremy Brandt Jenny, PHYSICIAN ASSISTANT

• Plastic and Reconstructive Surgery Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Plastic and Reconstructive Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.