Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Michael Bourgoyne, MD

Individual provider Psychiatry Physician · NPI 1306306717

Blake Michael Bourgoyne, MD is a Psychiatry in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2019, 7 years ago. Practices with Baton Rouge Clinic, a Medical Corporation, a 285-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
7
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3401 N Blvd Ste 100
Baton Rouge, LA 70806-3743
Phone: (225) 381-2621
Fax: (225) 387-7829
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5246 Brittany Dr Fl 3, Baton Rouge, LA 70808-9136 — (225) 757-4210

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 328464 (LA)

Record details

NPI number1306306717
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESJune 22, 2023
Certification dateJune 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2019 (7 years in practice)
Group practice Baton Rouge Clinic, A Medical Corporation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Baton Rouge