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

Dr. Blaise Bourgeois, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1972536282

Dr. Blaise Bourgeois, MD is a Pediatric Adolescent Medicine Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
Specialties on file
2
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

300 Longwood Ave Fegan 9
Boston, MA 02115-5724
Phone: (617) 355-2413
Fax: (617) 730-0463
Show map & directions

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

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 156598 (MA)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 156598 (MA)

Record details

NPI number1972536282
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESAugust 24, 2007
Mailing address300 Longwood Ave, Fegan 9, Boston, MA 02115-5724

Other providers in Boston