BRIAN ROBERT BOULAY MD NPI 1023103439

NPI Information

  • NPI: 1023103439
  • Provider Name: BRIAN ROBERT BOULAY, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1740 W TAYLOR ST
    UIC MEDICAL CENTER, SECTION OF DIGESTIVE DISEASES
    CHICAGO, IL
    ZIP 60612
  • Phone: (312) 355-4270

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NPI Details

Brian Robert Boulay, MD is a gastroenterology internal medicine in Chicago, IL with 24 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Brian Robert Boulay, MD NPI is 1023103439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1740 W TAYLOR ST
UIC MEDICAL CENTER, SECTION OF DIGESTIVE DISEASES
CHICAGO, IL
ZIP 60612-199
Phone: (312) 355-4270
Fax: (312) 996-5103

The NPI 1023103439 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth (HCPCS:43237)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (HCPCS:G0500)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology13031NEW HAMPSHIRENo
2207RG0100XInternal MedicineGastroenterologyA107914CALIFORNIANo
3207RG0100XInternal MedicineGastroenterology036.125568ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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