DR. JENNA MARTIN BOURGEOIS M.D. NPI 1942590153

NPI Information

NPI: 1942590153
Provider Name: DR. JENNA MARTIN BOURGEOIS, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
8777 BLUEBONNET BLVD
SUITE A
BATON ROUGE, LA
ZIP 70810
Phone: (225) 432-0000
Get Directions

DR. Jenna Martin Bourgeois, M.D. is a plastic and reconstructive surgery surgery in Baton Rouge, LA with 13 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Jenna Martin Bourgeois, M.D. NPI is 1942590153. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

8777 BLUEBONNET BLVD
SUITE A
BATON ROUGE, LA
ZIP 70810-975
Phone: (225) 432-0000
Fax: (225) 766-1995

The NPI 1942590153 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2011 and was last updated on 10/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	304332	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2441574	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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