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

Dr. Glen Michael Bouchard, DO

Individual provider Emergency Medicine Physician · NPI 1790751667

Dr. Glen Michael Bouchard, DO is an Emergency Medicine Physician in Palmer, Massachusetts. Licensed in Connecticut and Massachusetts. Registered with an NPI since 2006.

Licensed in
CT, MA
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.

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Practice location Address checks out

40 Wright St
Palmer, MA 01069-1138
Phone: (413) 284-5308
Fax: (413) 284-5413
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 78416 (MA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 000446 (CT)

Record details

NPI number1790751667
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 28, 2006
Last updated in NPPESDecember 10, 2015
Mailing address280 Chestnut St, 2nd Floor, Springfield, MA 01199-1619

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