Wallace Bourgeois, M.D.
NPI 1811317209 · Pediatric Hematology & Oncology Physician · Boston, MA
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wallace Bourgeois, M.D. is a Pediatric Hematology & Oncology Physician provider in Boston, MA (NPI 1811317209).
Provider details
- NPI number
- 1811317209
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 274015 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
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
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 300 Longwood AveBoston, MA 02115-5724Phone: (617) 355-6000
Registry dates
- Enumerated
- 2014-04-24
- Last updated
- 2021-02-22
- Certified
- 2021-02-22
Frequently asked questions
- What is Wallace Bourgeois's NPI number?
- Wallace Bourgeois's National Provider Identifier (NPI) is 1811317209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wallace Bourgeois's specialty?
- Wallace Bourgeois is listed in the NPPES registry with a primary specialty of Pediatric Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Wallace Bourgeois located?
- Wallace Bourgeois's practice location on file with NPPES is 450 Brookline Ave, Boston, MA 02215-5418.
- What is Wallace Bourgeois's phone number?
- The practice phone number listed in the NPPES registry for Wallace Bourgeois is (617) 632-2423.
- Does Wallace Bourgeois accept Medicare?
- Wallace Bourgeois is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Wallace Bourgeois's NPI active?
- Yes — Wallace Bourgeois's NPI (1811317209) is active in the NPPES registry as of the last update on 2021-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.