Bourgeois Family Medicine Clinic a Professional Medical Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

017806 Issued in LA

Legal business name

BOURGEOIS FAMILY MEDICINE CLINIC A PROFESSIONAL MEDICAL CORPORATION

Practice address

1409 Church St
Jeanerette, LA 70544-4407

Phone

(337) 276-6018

Fax

(337) 276-9507

NPI assigned

Dec 4, 2007

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leonard Barrow Bourgeois, M.D.

Title

Owner

Phone

(337) 276-6018

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1710169479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 CHURCH ST",
            "city": "JEANERETTE",
            "state": "LA",
            "postal_code": "705444407",
            "telephone_number": "337-276-6018",
            "fax_number": "337-276-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 CHURCH ST",
            "city": "JEANERETTE",
            "state": "LA",
            "postal_code": "705444407",
            "telephone_number": "337-276-6018",
            "fax_number": "337-276-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURGEOIS FAMILY MEDICINE CLINIC A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "BARROW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-276-6018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "017806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Alexander, LCSW
• Tichina Arnold, ND
• Beautiful Beginnings in Healthcare, LLC
• Susan Ann Blanchard, M.D.
• Blessed Kidz Therapeutic Group Home LLC
• Leonard JB Bourgeois Sr., MD
• Jennifer Buck
• Cashway Pharmacy of Jeanerette, la. Inc.
• Henrietta Lee Chambers, NP
• City Pharmacy and Home Medical LLC (City Pharmacy and Home Medical)

• Clinic/Center in Jeanerette, LA
• Providers in Jeanerette, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.