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

Mr. Shannon Christopher Boudreaux, MD

Individual provider Pediatrics Physician · NPI 1245285824

Mr. Shannon Christopher Boudreaux, MD is an Emergency Medicine in Pensacola, Florida. Qualified in 2003, 23 years ago. Practices as a sole proprietor, works from 5 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
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.

See every abbreviation used in this directory →

Practice location Address checks out

1 Bubba Watson Dr
Pensacola, FL 32504-8721
Phone: (850) 416-7000
Show map & directions

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

Additional practice locations (4)

  • 7334 Navarre Pkwy, Navarre, FL 32566-7752 — (850) 746-2911
  • 1 Bubba Watson Drive, Pensacola, FL 32504 — (850) 416-7000
  • 5151 N 9th Ave, Pensacola, FL 32504-8721 — (850) 416-7710
  • 1501 W Nine Mile Rd, Pensacola, FL 32534-5307 — (850) 746-4958

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence ME95353 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence ME95353 (FL)

Record details

NPI number1245285824
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 23, 2006
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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