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DR. BLAISE BOURGEOIS MD
NPI 1972536282
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Boston, MA

Active since July 09, 2006
300 LONGWOOD AVE, FEGAN 9, BOSTON, MA 02115(617) 355-2413(617) 730-0463 Get Directions Write a Review

NPPES record last updated: August 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Blaise Bourgeois Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAISE BOURGEOIS MD (NPI 1972536282) is an individual neurology with special qualifications in child neurology provider in Boston, Massachusetts, licensed in Massachusetts (156598) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1972536282
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. BLAISE BOURGEOISCredential: MD
Location Address300 LONGWOOD AVE, FEGAN 9Boston, MA 02115-5724
Mailing Address300 Longwood Ave, Fegan 9Boston, MA 02115-5724 · (617) 355-2413 · Fax (617) 730-0463
Phone(617) 355-2413
Fax(617) 730-0463
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateAugust 24, 2007
✔ NPI 1972536282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in MA · 156598
Definition
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.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 156598 (MA)
300 LONGWOOD AVE, Boston, MA 02115
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Other Identifiers 3

Medicare UPINF14337MA
Medicaid3183271MA
Medicare ID-Type UnspecifiedA32836MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blaise Bourgeois's NPI number?

The NPI number for Blaise Bourgeois is 1972536282. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Blaise Bourgeois located?

Blaise Bourgeois practices at 300 Longwood Ave Fegan 9, Boston, MA 02115. The listed phone number is (617) 355-2413.

What is Blaise Bourgeois's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Blaise Bourgeois was last updated on August 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.