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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1600 E Broadway
Columbia, MO 65201-5844
Phone: (573) 815-8000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

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

Other providers in Columbia