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

Individual provider Family Medicine Physician · NPI 1699424978

Dr. Blaine Phillip Boutte, MD is a Family Practice in Broussard, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2020, 6 years ago. Practices with Congress Emergency Group LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
6
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

108 Sumter Ave
Broussard, LA 70518-7312
Phone: (337) 654-1823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 348187 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699424978
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2020 (6 years in practice)
Group practice Congress Emergency Group Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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