Bumgardner, Matthew

Bumgardner, Matthew is an individual health care provider with primary practice located at 3801 North Blvd , Baton Rouge LA 70806-3825. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bumgardner, Matthew can be contacted via phone (225) 381-6546.

Contact Information

Primary practice address
3801 North Blvd Baton Rouge LA 70806-3825
Phone: (225) 381-6546
Fax: (225) 381-2579
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 301182 Louisiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 301182 Louisiana

Profile Details

NPI number 1043637119
LBN Legal business name Bumgardner, Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2014
Last updated Jul 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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