Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edward David Boudreau, DO

Individual provider Emergency Medicine Physician · NPI 1528014461

Dr. Edward David Boudreau, DO is an Emergency Medicine in Cheyenne Wells, Colorado. Graduated from Michigan State University College of Osteopathic Medicine in 1977, 49 years ago. Practices with Keefe Memorial Health Service District, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
49
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

615 W 5th St N
Cheyenne Wells, CO 80810
Phone: (719) 767-5661
Fax: (719) 767-5098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 689 Radio Dr, Lewis Center, OH 43035-7132 — (614) 805-9595

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0063534 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR.0063534 (CO)

Record details

NPI number1528014461
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing addressPo Box 578, Cheyenne Wells, CO 80810-0578

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1977 (49 years in practice)
Group practice Keefe Memorial Health Service District — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare