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

Jason Grady Boudreaux, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760757074

Jason Grady Boudreaux, MD is a Psychiatry in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2012, 14 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
14
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2012
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Baton Rouge, LA
Fax: (225) 765-7898

Additional practice locations (2)

  • 5131 Odonovan Dr Ste 300, Baton Rouge, LA 70808-4792 — (225) 374-0400
  • 433 Plaza St, Bogalusa, LA 70427-3729 — (985) 730-7152

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 301495 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1760757074
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2012
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2012 (14 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Baton Rouge