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

Dr. Jason K. Boudreau, DPM

Individual provider Podiatrist · NPI 1518959378

Dr. Jason K. Boudreau, DPM is a Podiatry in Milwaukee, Wisconsin. Qualified in 1997, 29 years ago. Practices with Columbia St Marys Hospital Milwaukee Inc, a 314-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Licensed in
WI
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2311 N Prospect Ave
Milwaukee, WI 53211-4445
Phone: (414) 319-3000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 803-025 (WI)

Record details

NPI number1518959378
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESJune 7, 2012

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Columbia St Marys Hospital Milwaukee Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Milwaukee