Active NPI
Joseph Alfred Boulay Jr., M.D.
- Gastroenterology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0040296
- Practice address
- 6198 52ND St S
St Petersburg, FL 33715-2405 - Phone
- (727) 410-6399
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0040296 | FL | Primary |
Addresses
Primary practice location
6198 52ND St S
St Petersburg, FL 33715-2405
Mailing address
6198 52ND St S
St Petersburg, FL 33715-2405
Phone (727) 410-6399
Other practice location 1
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8078
Other practice location 2
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1771
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LQ519 | Other | FL | MEDICARE - FL |
| 102026500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Maryland School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121
Hospital & facility affiliations
- Holmes Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0040296 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Gastroenterology | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| West Central Gastroenterology LLP | Gastroenterology | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
Interoperability endpoints
- jboulay71789@epicdirect.hf.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Gastroenterology
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Gastroenterology Physician
- Clearwater, FL
- NPI 1144454703
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1962467910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6198 52ND ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337152405",
"telephone_number": "727-410-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6198 52ND ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337152405",
"telephone_number": "727-410-6399"
}
],
"practiceLocations": [
{
"address_1": "1425 Malabar Rd NE",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329072506",
"country_code": "US",
"telephone_number": "321-434-8078",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-1771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOULAY",
"first_name": "JOSEPH",
"middle_name": "ALFRED",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0040296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - FL",
"identifier": "LQ519",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102026500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.