Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian Louis Boudreau, PA-C

Individual provider Surgical Physician Assistant · NPI 1417352816

Brian Louis Boudreau, PA-C is a Physician Assistant in Boston, Massachusetts. Graduated from Northwestern University Feinberg Medical School in 2014, 12 years ago. Practices with Chmc Otolaryngologic Foundation, Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
12
Trained at
Northwestern University Feinberg Medical School
Licensed in
MA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Longwood Ave Dept OF Otolaryngology
Boston, MA 02115-5724
Phone: (617) 355-6460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA5161 (MA)

Record details

NPI number1417352816
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 28, 2014
Last updated in NPPESOctober 28, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Chmc Otolaryngologic Foundation, Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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