What is Brian Boudreau's NPI number?

Brian Boudreau's National Provider Identifier (NPI) is 1417352816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Brian Boudreau's specialty?

Brian Boudreau is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Brian Boudreau located?

Brian Boudreau's practice location on file with NPPES is 300 Longwood Ave, Boston, MA 02115-5724.

What is Brian Boudreau's phone number?

The practice phone number listed in the NPPES registry for Brian Boudreau is (617) 355-6460.

Does Brian Boudreau accept Medicare?

Brian Boudreau is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Brian Boudreau's NPI active?

Yes — Brian Boudreau's NPI (1417352816) is active in the NPPES registry as of the last update on 2014-10-28.

IndividualActiveAccepts Medicare

Brian Boudreau, PA-C

NPI 1417352816 · Surgical Physician Assistant · Boston, MA

Brian Boudreau, PA-C is a Surgical Physician Assistant provider in Boston, MA (NPI 1417352816).

Provider details

NPI number: 1417352816
Entity type: Individual
Primary specialty: Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: Yes
License: PA5161 (MA)

Practice location

300 Longwood Ave

Department of Otolaryngology

Boston, MA 02115-5724

Phone: (617) 355-6460

Street-level locationGet directions

More MA providers

Mailing address

300 Longwood Ave

Boston, MA 02115-5724

Specialties & taxonomies

Surgical Physician AssistantPrimary363AS0400XLicense PA5161 (MA)
Physician Assistants & Advanced Practice Nursing Providers

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
12 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2014-10-28
Last updated: 2014-10-28

Frequently asked questions

What is Brian Boudreau's NPI number?: Brian Boudreau's National Provider Identifier (NPI) is 1417352816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Brian Boudreau's specialty?: Brian Boudreau is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
Where is Brian Boudreau located?: Brian Boudreau's practice location on file with NPPES is 300 Longwood Ave, Boston, MA 02115-5724.
What is Brian Boudreau's phone number?: The practice phone number listed in the NPPES registry for Brian Boudreau is (617) 355-6460.
Does Brian Boudreau accept Medicare?: Brian Boudreau is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Brian Boudreau's NPI active?: Yes — Brian Boudreau's NPI (1417352816) is active in the NPPES registry as of the last update on 2014-10-28.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions