Matthew Bumgardner, MD
Matthew Bumgardner, MD is a Family Practice in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2014, 12 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 12
- Trained at
- Louisiana State University School of Medicine in Shreveport
- Licensed in
- LA
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
Baton Rouge, LANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1 North Stadium Dr Tiger Stadium, Baton Rouge, LA 70803-3825 — (225) 765-5500
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 301182 (LA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Sports Medicine (Family Medicine) Physician | Taxonomy 207QS0010X · Licence 301182 (LA) |
Record details
| NPI number | 1043637119 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 26, 2014 |
| Last updated in NPPES | July 20, 2022 |
| Certification date | July 20, 2022 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Also practises | SPORTS MEDICINE |
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduated | 2014 (12 years in practice) |
| Group practice | Our Lady Of The Lake Physician Group Llc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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