Brian Louis Boudreau, PA-C
NPI 1417352816ActiveIndividual· Physician Assistant, Surgical· Boston, MA
Physician Assistant, Surgical (PA-C) in Boston, Massachusetts, trained at Northwestern University Feinberg Medical School (class of 2014). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1417352816 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Oct 28, 2014 |
| Last updated in NPPES | Oct 28, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA5161 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MA) |
|---|
Education and affiliations
| Medical school | Northwestern University Feinberg Medical School |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Physician Assistant |
Medical group
- Chmc Otolaryngologic Foundation, IncBoston, MA · 15 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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