Brad Bourgeois

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP08638 Issued in LA

Practice address

315 Westbank Expy
Gretna, LA 70053-5616

Phone

(504) 364-1844

NPI assigned

Mar 22, 2016

Last updated

Apr 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hai Nam Nguyen MD LLCGroup PAC ID 3577832609, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brad.bourgeois@334719876726788.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hai Nam Nguyen, MD LLC

  dba Gretna Medical Center

  • Internal Medicine Physician
  • Gretna, LA
  • NPI 1831417153
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1982066783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535616",
            "telephone_number": "504-364-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535616",
            "telephone_number": "504-364-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "BRAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2416243",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany D Booth, PA-C
• Jeffrey Andrew Borchardt, MD
• Mario Jamal Borne
• Ashley Boudreaux
• Becky Ann Bourgeois, CRNA
• Brian M. Bourgeois, M.D.
• Tammy Dore Bourque, RDN, LDN
• Leah Bowers, FNP
• Meghan Maureen Bowman, DPT
• Dionne M Bracken, MSW,CSW, M.A.

• Nurse Practitioner in Gretna, LA
• Providers in Gretna, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.