- Practice location
- 22 Bramhall St, Portland, ME 04102-3134
- Phone
- 207-662-2526
- Fax
- 207-662-6236
- Last updated
- December 4, 2018
Bradley Boucher is a Nurse Anesthetist, Certified Registered based in Portland, ME. Bradley Boucher practices in Portland, ME and has the professional credentials of CRNA. The NPI Number for Bradley Boucher is 1821446600 and holds a License No. RNA183057 (ME). The current practice location address for Bradley Boucher is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-662-2526 and via fax at 207-662-6236.
Provider Profile Details
- NPI Number
- 1821446600
- Provider Name
- Bradley Boucher
- Credential
- CRNA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 22 Bramhall St, Portland, ME 04102-3134
- Phone Number
- 207-662-2526
- Fax Number
- 207-662-6236
- Primary Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 2, 2016
- Last Update Date
- December 4, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Bramhall St
Portland, ME 04102-3134 - City
- Portland
- State
- Maine
- Zip
- 04102-3134
- Phone Number
- 207-662-2526
- Fax Number
- 207-662-6236
Provider Business Mailing Address Details
- Address
- 190 Riverside St Unit 6B
Portland, ME 04103-1073 - City
- Portland
- State
- ME
- Zip
- 04103-1073
License Information
- License Number
- RNA183057
- License State
- ME
- Taxonomy
- Nurse Anesthetist, Certified Registered · 367500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Anesthetist, Certified Registered providers near Portland, ME
View all Nurse Anesthetist, Certified Registered providers in Portland →- Andrew M Oliver, APRN-CRNANurse Anesthetist, Certified Registered · NPI 1942962477
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- April R Bourgoin, CRNANurse Anesthetist, Certified Registered · NPI 1497253744
- Brandy Basque, CRNANurse Anesthetist, Certified Registered · NPI 1710334354
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Frequently Asked Questions
What is the NPI number of Bradley Boucher, CRNA?
The NPI number of Bradley Boucher, CRNA is 1821446600. It was assigned on June 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Bradley Boucher, CRNA?
Bradley Boucher, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in ME under license number RNA183057.
Where does Bradley Boucher, CRNA practice?
The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-662-2526 (phone) or 207-662-6236 (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 1821446600 directly on the NPPES registry website.