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

Matthew Bumgardner, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043637119

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.

See every abbreviation used in this directory →

Practice location Address checks out

3801 N Blvd
Baton Rouge, LA 70806-3825
Phone: (225) 381-6546
Fax: (225) 381-2579
Show map & directions

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

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 number1043637119
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2014
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolLOUISIANA 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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