Whalio Doctors

NPI 1043637119

Matthew Bumgardner, MD

Practitioner Family Medicine Physician Baton Rouge, LA

Practice location

Address
3801 North Blvd, Baton Rouge, LA 70806-3825
Phone
(225) 381-6546
Fax
(225) 381-2579

Registered specialties (3)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 301182 (LA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X
Sports Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 301182 (LA)

Registry record

NPI
1043637119
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Mar 2014
Record last updated
20 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.