Edward W. Bouchard, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME89261 Issued in FL

Practice address

6983 E Fowler Ave
Tampa, FL 33617-1714

Phone

(813) 899-6226

Fax

(813) 985-8006

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Medical College of Georgia School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256
• HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
• HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

Merit-based Incentive Payment System (MIPS)

Final score

78.06 of 100Reported as group

Quality

72.79

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070
  Medicare reassignment Care Compare group NPD
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • St Petersburg, FL
  • NPI 1104205046
  Medicare reassignment NPD
• Radiology Physician Solutions of West Florida, LLC

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1427437367
  NPD
• Sheridan Radiology Services of Pinellas, Inc.

  dba DBA Pinellas Radiology Associates

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
  • NPI 1609211432
  NPD
• Carrollwood Diagnostic Imaging

  dba Premier Imaging

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1194778241
  NPD (past)
• Central Florida Imaging Associates

  • Diagnostic Radiology Physician
  • Davenport, FL
  • NPI 1912246455
  NPD (past)
• Largo Radiology Consultants

  • Radiology Clinic/Center
  • Largo, FL
  • NPI 1407131055
  NPD (past)
• Largo Radiology Consultants, PA

  • Diagnostic Radiology Physician
  • Largo, FL
  • NPI 1104106582
  NPD (past)
• South Bay Hospital Outpatient Diagnostic/Imaging Center

  • Diagnostic Radiology Physician
  • Sun City Center, FL
  • NPI 1558528513
  NPD (past)
• Tampa Bay Radiology Consultants

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1558312520
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citrus Memorial Hospital, Inc.

  dba HCA Florida Citrus Hospital

  • General Acute Care Hospital
  • Inverness, FL
  • NPI 1750780342
  Care Compare affiliation
• Galencare, Inc.

  dba HCA Florida Brandon Hospital

  • General Acute Care Hospital
  • Brandon, FL
  • NPI 1669427258
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  dba HCA Florida Oak Hill Hospital

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• HCA Health Services of Florida, Inc.

  dba HCA Florida Bayonet Point Hospital

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419
  Care Compare affiliation
• New Port Richey Hospital Inc

  dba HCA Florida Trinity Hospital

  • General Acute Care Hospital
  • Trinity, FL
  • NPI 1891741849
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093895765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47509",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336470113",
            "telephone_number": "813-899-6226",
            "fax_number": "813-985-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6983 E FOWLER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171714",
            "telephone_number": "813-899-6226",
            "fax_number": "813-985-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "EDWARD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME89261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269312700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerilyn J Botwinik, APRN
• Abdelbaki Boubekri, ARNP
• Lauren Bouchacourt, CCC/SLP M.S.
• Carol Marie Bouchard, CRNA
• Christine Helene Bouchard, ARNP, PHD
• Jann Bouchard
• David J Boudreaux, PH.D.
• Tami M Boudreaux, PT
• Willdith Niana Boue
• Alaa Boulad, M.D.

• Diagnostic Radiology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.