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

Scotty Austin Bouzigard

Individual provider Nurse Practitioner · NPI 1669317848

Scotty Austin Bouzigard is a Nurse Practitioner in Thibodaux, Louisiana. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Louisiana.

Years since qualifying
1
Licensed in
LA
In the registry since
2026

Practice location Address checks out

305 E 1st St
Thibodaux, LA 70301-3341
Phone: (985) 228-6028
Show map & directions

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

Additional practice locations (1)

  • 314 La-3162, Cut Off, LA 70345 — (985) 632-1825

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 219708 (LA)

Record details

NPI number1669317848
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 17, 2026
Mailing address511 W 13th St, Larose, LA 70373-2330

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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