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

Mr. William Sullivan Bourquard, MD

Individual provider Pediatrics Physician · NPI 1568451193

Mr. William Sullivan Bourquard, MD is a Pediatrics Physician in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2005
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

6148 N Discovery Way Ste 100
Boise, ID 83713-0201
Phone: (208) 322-5437
Fax: (208) 322-4638
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M5223 (ID)

Record details

NPI number1568451193
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 17, 2005
Last updated in NPPESMay 19, 2022
Mailing address6148 N Discovery Way, Ste 100, Boise, ID 83713-0201

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