DR. JACQUES MAURICE BOUCHARD (M.D.) – Family Medicine Physician, NPI 1073871844

DR. JACQUES MAURICE BOUCHARD (M.D.) is a healthcare provider. based in Moscow, Idaho. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. M-14719 (ID). The NPI Number for DR. JACQUES MAURICE BOUCHARD (M.D.) is 1073871844

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACQUES MAURICE BOUCHARD (M.D.)
NPI
1073871844
Phone
(208) 882-4511
Address
700 S MAIN ST
Enumeration Date
30 April 2012
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Secondary Phone
2088822011
Graduation Year
2012 (14 years ago)
PAC ID
8224261581
Group Practice PAC ID
0941545784
Professional Enrollment ID
I20191002000902
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for DR. JACQUES MAURICE BOUCHARD (M.D.)

  • 700 S MAIN ST

    MOSCOW, ID 838433046

    Phone: (208) 882-4511

    Type: Mailing

  • 623 S MAIN ST STE 1

    MOSCOW, ID 838433042

    Phone: (208) 882-2011

    Type: Location

  • 515 S ALMON ST APT A

    MOSCOW, ID 838432986

    Phone: (208) 550-3060

    Fax: (208) 210-1640

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83843)

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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: 0941545784View full group profile
NameSpecialtyState
Family PracticeIN
Physician AssistantWA
Family PracticeID
Physician AssistantID
Physician AssistantID
Family PracticeID
Family PracticeID
Family PracticeWA
Physician AssistantID
Physician AssistantWA

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Frequently asked questions

What is the 10-digit NPI for DR. JACQUES MAURICE BOUCHARD (M.D.)?
DR. JACQUES MAURICE BOUCHARD (M.D.) — NPI 1073871844 — is the standard way to identify this listing.
Is DR. JACQUES MAURICE BOUCHARD (M.D.) still practicing?
DR. JACQUES MAURICE BOUCHARD (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. JACQUES MAURICE BOUCHARD (M.D.)?
For research purposes, treat DR. JACQUES MAURICE BOUCHARD (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. JACQUES MAURICE BOUCHARD (M.D.) serve?
DR. JACQUES MAURICE BOUCHARD (M.D.)'s listing highlights Moscow, Idaho; more addresses can appear in NPPES.
Is the information about DR. JACQUES MAURICE BOUCHARD (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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