JOSEPH ALFRED JR. BOULAY (M.D.) – Gastroenterology Physician, NPI 1962467910

JOSEPH ALFRED JR. BOULAY (M.D.) is a healthcare provider. based in Melbourne, Florida. specializing in GASTROENTEROLOGY, HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. ME0040296 (FL). The NPI Number for JOSEPH ALFRED JR. BOULAY (M.D.) is 1962467910

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH ALFRED JR. BOULAY (M.D.)
NPI
1962467910
Phone
(321) 434-1771
Address
1350 Hickory St
Enumeration Date
20 April 2006
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
3214348121
Graduation Year
1981 (45 years ago)
PAC ID
9931118338
Group Practice PAC ID
7416100672
Professional Enrollment ID
I20100216000998
Address ID
FL329072506PA1425XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,474 GASTROENTEROLOGY in FL

Provider Addresses for JOSEPH ALFRED JR. BOULAY (M.D.)

  • 1350 Hickory St

    Melbourne, FL 329013224

    Phone: (321) 434-1771

    Type: Location

  • 1425 Malabar Rd NE

    Palm Bay, FL 329072506

    Phone: (321) 434-8078

    Type: Location

  • 6198, 52nd Street South, Bayway Isles, Saint Petersburg, Pinellas County, Florida, 33715, United States

    ST PETERSBURG, FL 337152405

    Phone: (727) 410-6399

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100216000998IGastroenterologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1813$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416100672View full group profile
NameSpecialtyState
-FL
General SurgeryFL
Internal MedicineFL
-FL
-FL
Physical Medicine And RehabilitationFL
Family PracticeFL
G A S T R O E N T E R O L O G YFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does JOSEPH ALFRED JR. BOULAY (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOSEPH ALFRED JR. BOULAY (M.D.) uses 1962467910.
Can I rely on JOSEPH ALFRED JR. BOULAY (M.D.) being an active provider?
As of the registry snapshot, JOSEPH ALFRED JR. BOULAY (M.D.) is marked active.
What is JOSEPH ALFRED JR. BOULAY (M.D.)'s primary classification?
Gastroenterology Physician is the headline specialty for JOSEPH ALFRED JR. BOULAY (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect JOSEPH ALFRED JR. BOULAY (M.D.) on a map?
Expect Melbourne, Florida as a primary anchor for JOSEPH ALFRED JR. BOULAY (M.D.) unless the record lists multiple sites.
Why does JOSEPH ALFRED JR. BOULAY (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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