DR. BLAISE BOURGEOIS MD
NPI 1972536282
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Boston, MA
- Individual
- Male
- Psychiatry & Neurology
- Neurology with Special Qualifications in...
About BLAISE BOURGEOIS
This page provides the complete NPI Profile along with additional information for Blaise Bourgeois, a provider established in Boston, Massachusetts with a medical specialization in Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1972536282 assigned on July 2006. The practitioner's primary taxonomy code is 2084N0402X with license number 156598 (MA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1972536282 Verify this NPI
- Provider Name
- DR. BLAISE BOURGEOIS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 300 LONGWOOD AVE FEGAN 9 BOSTON, MA 02115
- Location Phone
- (617) 355-2413
- Location Fax
- (617) 730-0463
- Mailing Address
- 300 LONGWOOD AVE FEGAN 9 BOSTON, MA 02115
- Mailing Phone
- (617) 355-2413
- Mailing Fax
- (617) 730-0463
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-09-2006
- Last Update Date
- 08-24-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology
- Taxonomy Code
- 2084N0402X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 156598
- License State
- MA
- Taxonomy Description
- A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080A0000X | Allopathic & Osteopathic Physicians | Pediatrics | 156598 (MA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F14337 | MEDICARE UPIN (02) | MA | |
| 3183271 | MEDICAID (05) | MA | |
| A32836 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972536282, enumerated as an "individual" on July 09, 2006.
The provider is located at 300 LONGWOOD AVE FEGAN 9 BOSTON, MA 02115 and the phone number is (617) 355-2413.
Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
