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DR. BRANT DERWENT BOUCHER MD
NPI 1003557950
Student in an Organized Health Care Education/Training Program in Harpers Ferry, WV

Active since April 05, 2022
171 TAYLOR ST, HARPERS FERRY, WV 25425(304) 535-6343(304) 596-2840 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brant Derwent Boucher Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRANT DERWENT BOUCHER MD (NPI 1003557950) is an individual student in an organized health care education/training program in Harpers Ferry, West Virginia and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1003557950
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BRANT DERWENT BOUCHERCredential: MD
Location Address171 TAYLOR STHarpers Ferry, WV 25425-3641
Mailing Address171 Taylor StHarpers Ferry, WV 25425-3641 · (304) 535-6343 · Fax (304) 596-2840
Phone(304) 535-6343
Fax(304) 596-2840
Sole ProprietorNo
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1003557950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
171 TAYLOR ST, Harpers Ferry, WV 25425
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNAH SYED DALESSIO MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
DR. ADRIENNE ZAVALA M.D.
Family Medicine
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
GISELLE PERRY LPC
Counselor (Professional)
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
DR. CASSANDRA LEA CLAYBORNE MD
Family Medicine
171 TAYLOR ST, -
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
AUDREANNA ELIZABETH JAMES
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
ISABELLA BUSHMAN MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
MARIA FERNANDA KLEIMANN SANCHEZ CERRO MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
JESSICA LYNN RUDE
Family Medicine
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brant Boucher's NPI number?

The NPI number for Brant Boucher is 1003557950. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Brant Boucher located?

Brant Boucher practices at 171 Taylor St, Harpers Ferry, WV 25425. The listed phone number is (304) 535-6343.

What is Brant Boucher's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brant Boucher was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.