OrganizationActive
Bourgeois Family Medicine Clinic a Professional Medical Corporation
NPI 1710169479 · Clinic/Center · Jeanerette, LA
Provider details
- NPI number
- 1710169479
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leonard Bourgeois, Owner(337) 276-6018
- License
- 017806 (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1409 Church St
Jeanerette, LA 70544-4407
Phone: (337) 276-6018
Fax: (337) 276-9507
Approximate (ZIP-level) locationGet directions
Mailing address
1409 Church St
Jeanerette, LA 70544-4407
Registry dates
- Enumerated
- 2007-12-04
- Last updated
- 2008-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.