BRYAN CLARK BORDEAUX D.O.
NPI 1972560696
Internal Medicine in Boston, MA

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
165 DARTMOUTH ST, INTERNAL MEDICINE, BOSTON, MA 02116(617) 859-5101(617) 859-5050 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bryan Clark Bordeaux D.o. NPPES

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

BRYAN CLARK BORDEAUX D.O. (NPI 1972560696) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (231683) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1999).

NPPES Registry Identity

NPI1972560696
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRYAN CLARK BORDEAUXCredential: D.O.
Location Address165 DARTMOUTH ST, INTERNAL MEDICINEBoston, MA 02116-5123
Mailing Address165 Dartmouth St, Internal MedicineBoston, MA 02116-5123 · (617) 859-5101 · Fax (617) 859-5050
Fax(617) 859-5050
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1999
Enumeration DateApril 27, 2006
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
NPI 1972560696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MA · 231683 Licensed in MD · H62994
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

165 DARTMOUTH ST, Boston, MA 02116

Other Identifiers 1

Medicaid2151383MA

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

Bryan Clark Bordeaux D.o. 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.

PECOS PAC ID5092721126
PECOS Enrollment IDI20080521000258
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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
147 services69 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services57 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services49 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
62 services55 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
52 services41 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
25 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02116 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$33.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
165 DARTMOUTH ST
BOSTON, MA 02116
Obstetrics & Gynecology
165 DARTMOUTH ST
BOSTON, MA 02116
Obstetrics & Gynecology
165 DARTMOUTH ST
BOSTON, MA 02116
Internal Medicine
165 DARTMOUTH ST, INTERNAL MEDICINE
BOSTON, MA 02116
Psychiatry & Neurology (Psychiatry)
165 DARTMOUTH ST
BOSTON, MA 02116
Obstetrics & Gynecology
165 DARTMOUTH ST
BOSTON, MA 02116
Advanced Practice Midwife
165 DARTMOUTH ST
BOSTON, MA 02116
Psychologist
165 DARTMOUTH ST, BEHAVIORAL HEALTH DEPT
BOSTON, MA 02116

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 Bryan Bordeaux's NPI number?

The NPI number for Bryan Bordeaux is 1972560696. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Bryan Bordeaux located?

Bryan Bordeaux practices at 165 Dartmouth St Internal Medicine, Boston, MA 02116. The listed phone number is (617) 859-5101.

What is Bryan Bordeaux's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bryan Bordeaux enrolled in Medicare?

Yes. Bryan Bordeaux 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 Bryan Bordeaux accept?

Health plans from Anthem Blue Cross and Blue Shield list Bryan Bordeaux 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 Bryan Bordeaux was last updated on October 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.