Provider Type Icon

NICOLE H. BOUDREAUMD P.C. NPI 1396969226


NPI Information

NPI: 1396969226
Provider Name: NICOLE H. BOUDREAU,MD P.C.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
1180 BEACON ST
SUITE 2C
BROOKLINE, MA
ZIP 02446
Phone: (617) 232-0440
Get Directions

NICOLE H. BOUDREAU,MD P.C. is an obstetrics obstetrics gynecology in Brookline, MA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee NICOLE H. BOUDREAU,MD P.C. NPI is 1396969226. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1180 BEACON ST
SUITE 2C
BROOKLINE, MA
ZIP 02446-885
Phone: (617) 232-0440
Fax: (617) 232-8444

The provider's authorized official is Nicole Hurley Boudreau .
The authorized official title is President and has the following contact phone number (617) 232-0440.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 12/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0000XObstetrics & GynecologyObstetrics205483MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H020273MEDICARE UPINMASSACHUSETTS
2A31311MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
30108197MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.