MARK EUGENE BOLDUC M.D. NPI 1043226129

NPI Information

  • NPI: 1043226129
  • Provider Name: MARK EUGENE BOLDUC, M.D.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 325 KENNEDY MEMORIAL DR # B
    WATERVILLE, ME
    ZIP 04901
  • Phone: (207) 872-7171

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NPI Details

Mark Eugene Bolduc, M.D. is a vascular surgery surgery in Waterville, ME. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Mark Eugene Bolduc, M.D. NPI is 1043226129. 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:

325 KENNEDY MEMORIAL DR # B
WATERVILLE, ME
ZIP 04901-517
Phone: (207) 872-7171
Fax: (207) 877-7268

The NPI 1043226129 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.

  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 7/31/2006 and was last updated on 2/21/2014.

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
1208600000XSurgery011486MAINENo
22086S0129XSurgeryVascular Surgery011486MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M101030OTHERMAINECIGNA
2A58361MEDICARE UPINMAINE
3039918OTHERMAINEANTHEM BLUE CROSS
401539102MEDICARE PINMAINE
5015391MEDICARE ID-TYPE UNSPECIFIEDMAINE
601539101MEDICARE PINMAINE

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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