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

James Bryce Boudreau

Individual provider Family Nurse Practitioner · NPI 1689312787

James Bryce Boudreau is a Nurse Practitioner in Columbia, Missouri. Qualified in 2022, 4 years ago. Practices with Boone Physician Services LLC, a 240-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

1600 E Broadway
Columbia, MO 65201-5844
Phone: (573) 815-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022021020 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2022013516 (MO)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 2018007575 (MO)

Record details

NPI number1689312787
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 26, 2022
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022
Mailing address1600 E Broadway, Columbia, MO 65201-5844

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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