DR. PHILIP TREVOR BOUCHER M.D.
NPI 1962796839
Pediatrics in Omaha, NE

Q: What is Philip Boucher's NPI number?

The NPI number for Philip Boucher is 1962796839. It was assigned to this individual provider in the NPPES registry on June 8, 2011.

Q: What is Philip Boucher's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Boucher was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 08, 2011

2550 N 130TH ST, OMAHA, NE 68164(402) 214-9148 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Philip Trevor Boucher M.d. NPPES

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

DR. PHILIP TREVOR BOUCHER M.D. (NPI 1962796839) is an individual pediatrics provider in Omaha, Nebraska, licensed in Nebraska (6504) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1962796839

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. PHILIP TREVOR BOUCHERCredential: M.D.

Location Address2550 N 130TH STOmaha, NE 68164-3466

Mailing Address2550 N 130th StOmaha, NE 68164-3466 · (402) 214-9148

Phone(402) 214-9148

Sole ProprietorYes

Enumeration DateJune 8, 2011

✔ NPI 1962796839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NE · 6504

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2550 N 130TH ST, Omaha, NE 68164

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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 Boucher's NPI number?

The NPI number for Philip Boucher is 1962796839. It was assigned to this individual provider in the NPPES registry on June 8, 2011.

Where is Philip Boucher located?

Philip Boucher practices at 2550 N 130th St, Omaha, NE 68164. The listed phone number is (402) 214-9148.

What is Philip Boucher's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Philip Boucher accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Philip Boucher 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 Philip Boucher was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.