EDWARD D. BOUDREAU D.O. – NPI #1528014461
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Health Care Provider Taxonomy Code for Emergency Medicine

EDWARD BOUDREAU is a physician located in CHEYENNE WELLS, CO. NPPES has assigned the NPI number 1528014461 to EDWARD BOUDREAU on May 25, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Apr 06, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDWARD BOUDREAU below.

NPI Profile for
EDWARD D. BOUDREAU

NPI Number
1528014461
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDWARD D. BOUDREAU
Credentials
D.O.
Primary location
615 W 5TH ST N
CHEYENNE WELLS, CO 80810
Phone: (719) 767-5661 Fax: (719) 767-5098
1 Other location(s):
689 Radio Dr
Lewis Center, OH 43035-7132
Phone: (614) 805-9595
Mailing address
PO BOX 578
CHEYENNE WELLS, CO 80810-0578
Phone: (614) 805-9595 Fax: (719) 451-3423
Sole Proprietor
No
Updated
Certification Date
Apr 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)		 CO 0063534
207Q00000X
- Family Medicine		 CO DR.0063534

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 1977
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
EDWARD BOUDREAU is affiliated with the following medical group(s):
  • HOSPITAL
    • KEEFE MEMORIAL HOSPITAL
      602 N 6TH ST W
      CHEYENNE WELLS, CO 80810

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