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

Mary Rea Bouchard, PA-C

Individual provider Medical Physician Assistant · NPI 1427496249

Mary Rea Bouchard, PA-C is a Physician Assistant in Durham, North Carolina. Graduated from Wake Forest University School of Medicine in 2013, 13 years ago. Practices with Eventus Wholehealth PLLC, a 299-clinician group. Licensed in North Carolina.

Years since qualifying
13
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2511 Old Cornwallis Rd Ste 200
Durham, NC 27713-1869
Phone: (844) 932-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04293 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-04293 (NC)

Record details

NPI number1427496249
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2013
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Eventus Wholehealth Pllc — 299 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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