Active NPIIndividual provider

Dr. Michael J Bouchard II, DPM

Healthcare Provider in Portland, Maine

NPI Number1801358056
Practice location
63 Marginal Way Ste 300, Portland, ME 04101-1965
Fax
207-879-1092
Last updated
November 3, 2026

Michael J Bouchard is a Healthcare Provider based in Portland, ME. Michael J Bouchard practices in Portland, ME and has the professional credentials of DPM. The NPI Number for Michael J Bouchard is 1801358056 and holds a License No. 056-0000201 (VT). The current practice location address for Michael J Bouchard is 63 Marginal Way Ste 300, Portland, ME 04101-1965 and can be reached out via phone at 207-879-1339 and via fax at 207-879-1092.

Provider Profile Details

NPI Number
1801358056
Provider Name
Michael J Bouchard
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
63 Marginal Way Ste 300, Portland, ME 04101-1965
Phone Number
207-879-1339
Fax Number
207-879-1092
Primary Taxonomy
Healthcare Provider · 213ES0131X
Sole Proprietor
No
Provider Enumeration Date
April 4, 2019
Last Update Date
November 3, 2026
Certification Date
November 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Marginal Way Ste 300
Portland, ME 04101-1965
State
Maine
Zip
04101-1965
Phone Number
207-879-1339
Fax Number
207-879-1092
Portland, ME 04101Get directions →

Provider Business Mailing Address Details

Address
63 Marginal Way Ste 300
Portland, ME 04101-1965
City
Portland
State
ME
Zip
04101-1965
Phone Number
207-879-1339
Fax Number
207-879-1092

License Information

License Number (1)
056-0000201
License State (1)
VT
Taxonomy (1)
Podiatrist · 213E00000X
License Number (3)
POD1147
License State (3)
ME
Taxonomy (3)
· 213ES0131X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Dr. Michael J Bouchard II, DPM?

The NPI number of Dr. Michael J Bouchard II, DPM is 1801358056. It was assigned on April 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael J Bouchard II, DPM?

Dr. Michael J Bouchard II, DPM is registered under the primary taxonomy Healthcare Provider (code 213ES0131X), licensed in VT under license number 056-0000201.

Where does Dr. Michael J Bouchard II, DPM practice?

The practice location is 63 Marginal Way Ste 300, Portland, ME 04101-1965. The office can be reached at 207-879-1339 (phone) or 207-879-1092 (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 1801358056 directly on the NPPES registry website.

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