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SELLERS BOUDREAU
NPI 1740816677
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Active since March 23, 2020PECOS Enrolled
1212 WALES AVE, BIRMINGHAM, AL 35213(251) 367-7868 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sellers Boudreau NPPES

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

SELLERS BOUDREAU (NPI 1740816677) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740816677
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSELLERS BOUDREAU
Location Address1212 WALES AVEBirmingham, AL 35213-1414
Mailing Address1212 Wales AveBirmingham, AL 35213-1414 · (251) 367-7868
Phone(251) 367-7868
Sole ProprietorNo
Enumeration DateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
✔ NPI 1740816677 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.
1212 WALES AVE, Birmingham, AL 35213
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sellers Boudreau is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Sellers Boudreau's NPI number?

The NPI number for Sellers Boudreau is 1740816677. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Sellers Boudreau located?

Sellers Boudreau practices at 1212 Wales Ave, Birmingham, AL 35213. The listed phone number is (251) 367-7868.

What is Sellers Boudreau's specialty?

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

Is Sellers Boudreau enrolled in Medicare?

Yes. Sellers Boudreau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sellers Boudreau was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.