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

Individual provider Family Medicine Physician · NPI 1083685366

Dr. Philip C Boulanger, MD is a General Practice in Richmond, Virginia. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1996, 30 years ago. Practices with Central Virginias Preferred Providers, a 6-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
30
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5911 W Broad St
Richmond, VA 23230-2219
Phone: (804) 213-0259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5236 Timber Hollow Pl, Glen Allen, VA 23060-2846 — (804) 389-2606
  • 1891 Virginia Ave, Harrisonburg, VA 22802-8374 — (804) 389-2606

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101057867 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101057867 (VA)

Record details

NPI number1083685366
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 27, 2006
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023
Mailing address1891 Virginia Ave, Harrisonburg, VA 22802-8374

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1996 (30 years in practice)
Group practice Central Virginias Preferred Providers — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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