DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEROMY TRAVIS BOUCHER, D.O.

Active Sole Proprietor

JEROMY TRAVIS BOUCHER, D.O. is a Emergency Medicine healthcare provider located in WASHINGTON, Washington D.C.. NPI 1922311430 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · WASHINGTON, DC

Registration Details

NPI Number
1922311430
Provider Type
Individual
Gender
Male
NPI Issued
Jul 26, 2010 (16.007392145082 yrs)
Last Updated
Oct 18, 2018
Licenses
DO.1213 (AL)
0102204042 (VA)
Sole Proprietor
Yes

Practice Information

Address
2150 PENNSYLVANIA AVE NW
WASHINGTON, DC, 200373201
Browse DC providers · Browse ZIP 20037
Phone
2027413000
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in WASHINGTON, DC

Name Credential NPI
AUTUMN C GRAHAM MD 1578567012
GRIFFIN L DAVIS MD 1922006980
JOHN V DESIMONE MD 1780682740
ELLEN DUGAN 1457359440
JONATHAN E DAVIS MD 1154329027
JEFFREY S DUBIN MD 1588662571
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.