Active NPIIndividual providerSole proprietor

Travis J Bouchard, DO

Surgery in Augusta, Maine

NPI Number1538698212
Practice location
35 Medical Center Pkwy, Augusta, ME 04330-8160
Fax
207-622-4085
Last updated
August 1, 2022

Travis Jeffery Bouchard is a Surgery based in Augusta, ME. Travis Jeffery Bouchard practices in Augusta, ME and has the professional credentials of DO. The NPI Number for Travis Jeffery Bouchard is 1538698212 and holds a License No. TL6435 (CO). The current practice location address for Travis Jeffery Bouchard is 35 Medical Center Pkwy, Augusta, ME 04330-8160 and can be reached out via phone at 207-621-4680 and via fax at 207-622-4085.

Provider Profile Details

NPI Number
1538698212
Provider Name
Travis Jeffery Bouchard
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
35 Medical Center Pkwy, Augusta, ME 04330-8160
Phone Number
207-621-4680
Fax Number
207-622-4085
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
June 7, 2017
Last Update Date
August 1, 2022
Certification Date
August 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Medical Center Pkwy
Augusta, ME 04330-8160
State
Maine
Zip
04330-8160
Phone Number
207-621-4680
Fax Number
207-622-4085
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
35 Medical Center Pkwy
Augusta, ME 04330-8160
City
Augusta
State
ME
Zip
04330-8160
Phone Number
207-621-4680
Fax Number
207-622-4085

License Information

License Number (1)
TL6435
License State (1)
CO
Taxonomy (1)
Surgery · 208600000X
License Number (2)
DO3299
License State (2)
ME
Taxonomy (2)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Surgery providers near Augusta, ME

View all Surgery providers in Augusta →

Frequently Asked Questions

What is the NPI number of Travis J Bouchard, DO?

The NPI number of Travis J Bouchard, DO is 1538698212. It was assigned on June 7, 2017 and is currently active in the NPPES registry.

What is the specialty of Travis J Bouchard, DO?

Travis J Bouchard, DO is registered under the primary taxonomy Surgery (code 208600000X), licensed in CO under license number TL6435.

Where does Travis J Bouchard, DO practice?

The practice location is 35 Medical Center Pkwy, Augusta, ME 04330-8160. The office can be reached at 207-621-4680 (phone) or 207-622-4085 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538698212 directly on the NPPES registry website.

Browse related providers