Individual provider · Type 1 NPI

Blaine Phillip Boutte, MD

Family Medicine Physician · Broussard, LA

NPI number 1699424978 Active

Practice location

108 Sumter Ave
Broussard, LA 70518-7312

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X348187 (LA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1699424978

Blaine Phillip Boutte, MD's National Provider Identifier is 1699424978, issued on Mar 22, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Broussard, LA. The record was last updated on Feb 3, 2026.