DR. PHILIP C BOULANGER MD
NPI 1083685366
Internal Medicine in Richmond, VA
About Dr. Philip C Boulanger Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILIP C BOULANGER MD (NPI 1083685366) is an individual internal medicine provider in Richmond, Virginia, licensed in Virginia (0101057867) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1996).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Philip C Boulanger Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RICHMOND, VA 23230
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 Philip Boulanger's NPI number?
The NPI number for Philip Boulanger is 1083685366. It was assigned to this individual provider in the NPPES registry on January 27, 2006.
Where is Philip Boulanger located?
Philip Boulanger practices at 5911 W Broad St, Richmond, VA 23230. The listed phone number is (804) 213-0259.
What is Philip Boulanger's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Philip Boulanger enrolled in Medicare?
Yes. Philip Boulanger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Philip Boulanger was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Philip C Boulanger, MD · NPI 1083685366
Internal Medicine physician in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since January 27, 2006.
## Identity
- **NPI:** 1083685366 (Entity type: Individual)
- **Enumerated:** January 27, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101057867 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5911 W BROAD ST, Richmond, VA 23230-2219
- **Phone:** (804) 213-0259
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Illinois College Of Med, class of 1996
## Record status
- **NPPES last updated:** April 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083685366) · Data from the CMS NPPES public registry.