JAMES C. BOUDREAU, DPM, SC
NPI 1528074309
Podiatrist in Hales Corners, WI

Q: What is James C. Boudreau, Dpm, Sc's NPI number?

The NPI number for James C. Boudreau, Dpm, Sc is 1528074309. It was assigned to this organization in the NPPES registry on July 31, 2006.

Q: What is James C. Boudreau, Dpm, Sc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since July 31, 2006

6191 S. 108TH ST., HALES CORNERS, WI 53130(414) 425-5140(414) 425-7960 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About James C. Boudreau, Dpm, Sc NPPES

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

JAMES C. BOUDREAU, DPM, SC (NPI 1528074309) is a healthcare organization registered as a podiatrist in Hales Corners, Wisconsin and active in the NPI registry since July 2006. The organization lists James C. Boudreau, President, as its authorized official.

NPPES Registry Identity

NPI1528074309

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameJAMES C. BOUDREAU, DPM, SC

Location Address6191 S. 108TH ST.Hales Corners, WI 53130

Mailing Address6191 S. 108th St.Hales Corners, WI 53130 · (414) 425-5140 · Fax (414) 425-7960

Phone(414) 425-5140

Fax(414) 425-7960

Organization SubpartNo

Authorized OfficialJames C. BoudreauPresident · (414) 425-5140

Enumeration DateJuly 31, 2006

Last NPPES UpdateFebruary 15, 2012

✔ NPI 1528074309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in WI · 349025

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

6191 S. 108TH ST., Hales Corners, WI 53130

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Other Identifiers 3

Medicaid43260100WI

Medicare PIN000184024WI

Medicare UPINT61539WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. DONALD JOHN CZAPLICKI D.D.S.

Dentist (General Practice)

6191 S. 108TH ST.
HALES CORNERS, WI 53130

Milwaukee County (414) 427-9090

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 James C. Boudreau, Dpm, Sc's NPI number?

The NPI number for James C. Boudreau, Dpm, Sc is 1528074309. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is James C. Boudreau, Dpm, Sc located?

James C. Boudreau, Dpm, Sc is located at 6191 S. 108th St., Hales Corners, WI 53130. The listed phone number is (414) 425-5140.

What is James C. Boudreau, Dpm, Sc's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for James C. Boudreau, Dpm, Sc was last updated on February 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.