National Provider Identifier Database

BRADLEE J BOURGEOIS, NP-C – NPI #1447796552
Primary Care


Contact Information

BRADLEE J BOURGEOIS, NP-C
1600 WILLIAMS BLVD
KENNER, LA70062-6304
Phone: 504-465-1506
Fax:
Website:
Specialty Taxonomy Code
* Primary Care 363LP2300X

* Indicates primary specialty

NPI Profile & details for BRADLEE J BOURGEOIS

NPI Number 1447796552
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 01/12/2017
Last updated 09/06/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • LA License #: AP09125
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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