BRIAN LOUIS BOUDREAU PA-C
NPI 1417352816
Physician Assistant - Surgical in Boston, MA
About Brian Louis Boudreau Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN LOUIS BOUDREAU PA-C (NPI 1417352816) is an individual surgical provider in Boston, Massachusetts, licensed in Massachusetts (PA5161) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Brian Louis Boudreau Pa-c 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.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Brian Boudreau's NPI number?
The NPI number for Brian Boudreau is 1417352816. It was assigned to this individual provider in the NPPES registry on October 28, 2014.
Where is Brian Boudreau located?
Brian Boudreau practices at 300 Longwood Ave Department Of Otolaryngology, Boston, MA 02115. The listed phone number is (617) 355-6460.
What is Brian Boudreau's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Brian Boudreau enrolled in Medicare?
Yes. Brian Boudreau 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.
What insurance does Brian Boudreau accept?
Health plans from Anthem Blue Cross and Blue Shield list Brian Boudreau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brian Boudreau was last updated on October 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Brian Louis Boudreau, PA-C · NPI 1417352816
Surgical physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since October 28, 2014.
## Identity
- **NPI:** 1417352816 (Entity type: Individual)
- **Enumerated:** October 28, 2014
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA5161 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 LONGWOOD AVE, DEPARTMENT OF OTOLARYNGOLOGY, Boston, MA 02115-5724
- **Phone:** (617) 355-6460
## 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:** Northwestern University Feinberg Medical School, class of 2014
## Record status
- **NPPES last updated:** October 28, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1417352816) · Data from the CMS NPPES public registry.