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DR. BRIAN BOUCH M.D.
NPI 1750472213
Family Medicine in Petaluma, CA

Active since September 27, 2006PECOS Enrolled
1410 SKILLMAN LN, PETALUMA, CA 94952(707) 696-7427(707) 615-5775 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Brian Bouch M.d. NPPES

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

DR. BRIAN BOUCH M.D. (NPI 1750472213) is an individual family medicine provider in Petaluma, California, licensed in California (G35969) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750472213
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRIAN BOUCHCredential: M.D.
Location Address1410 SKILLMAN LNPetaluma, CA 94952-1249
Mailing Address1410 Skillman LnPetaluma, CA 94952-1249 · (707) 765-0259
Phone(707) 696-7427
Fax(707) 615-5775
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 15, 2021
NPPES CertifiedJuly 15, 2021
✔ NPI 1750472213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G35969
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1410 SKILLMAN LN, Petaluma, CA 94952
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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)

Dr. Brian Bouch M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bouch's NPI number?

The NPI number for Brian Bouch is 1750472213. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Brian Bouch located?

Brian Bouch practices at 1410 Skillman Ln, Petaluma, CA 94952. The listed phone number is (707) 696-7427.

What is Brian Bouch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Brian Bouch enrolled in Medicare?

Yes. Brian Bouch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Bouch was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.