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RENE ALBERT BOUCHER DO NPI 1699769869


NPI Information

NPI: 1699769869
Provider Name: RENE ALBERT BOUCHER, DO
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

Address:
165 NATCHEZ TRACE AVE
SUITE 205
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 282-2024
Get Directions

Rene Albert Boucher, DO is an interventional pain medicine pain medicine in Bowling Green, KY. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Rene Albert Boucher, DO NPI is 1699769869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

165 NATCHEZ TRACE AVE
SUITE 205
BOWLING GREEN, KY
ZIP 42103-940
Phone: (270) 282-2024
Fax: (270) 393-1913

The enumeration date for this NPI number is 9/2/2005 and was last updated on 9/18/2009.


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
1208VP0000XPain MedicinePain Medicine02561KENTUCKYNo
2207L00000XAnesthesiology02561KENTUCKYNo
3207LP2900XAnesthesiologyPain Medicine02561KENTUCKYNo
4208VP0014XPain MedicineInterventional Pain Medicine02561KENTUCKYYes

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
164980105MEDICAIDKENTUCKY
20560817MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
3F55027MEDICARE UPINKENTUCKY

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.