Philip Charles Boulanger

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PHILIP CHARLES BOULANGER

Practice address

9401 Fernleigh Dr
Richmond, VA 23235-1311

Phone

(804) 389-2606

Fax

(804) 747-0643

NPI assigned

Jul 16, 2007

Organization subpart

No

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

Authorized official

Name

Philip Charles Boulanger, M.D.

Title

Owner/President

Phone

(804) 389-2606

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1144429564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 FERNLEIGH DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351311",
            "telephone_number": "804-389-2606",
            "fax_number": "804-747-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 FERNLEIGH DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351311",
            "telephone_number": "804-389-2606",
            "fax_number": "804-747-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP CHARLES BOULANGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BOULANGER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "804-389-2606",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP#",
            "identifier": "190001514",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rene Philhower, LPT
• Scott Philips, DDS
• Phillip S Keck, PHD, LLC
• Christina Phillip, MS, OTR/L
• Aidan Phillips, RN
• Andrew Chase Phillips

• General Practice Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.