Bougie Brat Hair LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BOUGIE BRAT HAIR LLC

Practice address

9151 Interline Ave Ste 12B
Baton Rouge, LA 70809-1970

Phone

(225) 726-8034

NPI assigned

Nov 10, 2022

Organization subpart

No

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

Authorized official

Name

Madison Nicole Brooks

Title

Owner

Phone

(225) 726-0922

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1770291528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18034 FOREST HILLS DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693067",
            "telephone_number": "225-726-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9151 INTERLINE AVE STE 12B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091970",
            "telephone_number": "225-726-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUGIE BRAT HAIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MADISON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-726-0922"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald L. Boudreaux, MD
• Stephanie King Boudreaux, M.ED., LPC, PMH-C
• Tyler Gerard Boudreaux
• Whitney Boudreaux
• Robert Bougard, PHARM. D.
• Karis Bouillon
• Boujie Couture Salon
• Zyanna Bouldin
• Julia G Bounds, CRNA
• Bountiful Blessings LLC

• Prosthetic/Orthotic Supplier in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.