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NPI Code Detail

MEDICARE: BOURGEOIS MEDICAL CLINIC

MEDICARE: BOURGEOIS MEDICAL CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianLA
22083X0100XOccupational Medicine PhysicianLA

General Provider Information

NPI Number : 1427059039
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOURGEOIS MEDICAL CLINIC
Provider Business Mailing Address
First Line : 1201 KENNETH ST
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-1353
Country : US
Telephone Number : 985-384-3355
Fax Number : 985-384-2884
Provider Business Practice Location Address
First Line : 1201 KENNETH ST
Second Line :
City : MORGAN CITY
State : LA
Zip : 70380-1353
Country : US
Telephone Number : 985-384-3355
Fax Number : 985-384-2884
Authorized Official
Title or Position : MANAGING PARTNER
Name : ROBERT M BOURGEOIS
Credential : MD MPH
Telephone Number : 985-384-3355
Provider Enumeration Date : 08/04/2005
Last Update Date : 09/11/2025

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1649270786 — ROBERT M BOURGEOIS MD MPH
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1154321297 — MELVIN G BOURGEOIS MD
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1467587790 — DR. MARK JAMES BOQUET MD, MPH, MS
Practice Location Address:
1201 KENNETH ST
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1134569551 — DAVID BOURG APRN, CNP
Practice Location Address:
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Directions to “BOURGEOIS MEDICAL CLINIC ” Practice Location

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