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Contact Information

BRADLEE J BOURGEOIS, NP-C
1600 WILLIAMS BLVD
KENNER, LA70062-6304
 Phone: 504-465-1506
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRADLEE J BOURGEOIS · (Male)

NPI Number 1447796552
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 01/12/2017
Last updated 09/06/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • LA License # AP09125
Hospital affiliation(s) Not Available
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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