Douglas Allen Bouldin
FNP-C | Nurse Practitioner | 28+ years Exp
13353 Olive Blvd, Chesterfield
Missouri, 63017-3108
636-473-8873
Douglas Allen Bouldin is a Chesterfield, Missouri based nurse practitioner with 28 years of experience in . He completed his graduation from University Of Missouri St Louis - School Of Optometry in 1998. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Douglas Allen Bouldin is 113431 in Missouri. His current practice location is 13353 Olive Blvd, Chesterfield. Patients can reach him at 636-473-8873. Douglas Allen Bouldin is FNP-C and his NPI number (Unique professional ID assigned by NPPES) is 1770568727.
Douglas Allen Bouldin has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Douglas Allen Bouldin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Douglas Allen Bouldin |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | FNP-C |
| Experience: | 28+ years |
| Medical School Attended: | University Of Missouri St Louis - School Of Optometry |
| Graduation Year: | 1998 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 13353 Olive Blvd, Chesterfield,
Missouri, 63017-3108 |
| Phone: | 636-473-8873 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4880693936 |
| Enrollment ID: | I20061219000100 |
| NPI Number: | 1770568727 |
| NPI Enumeration Date: | 13 Dec, 2005 |
| NPI Last Update On: | 16 Mar, 2016 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas Allen Bouldin are as mentioned below.
| License Number | Specialization | State | Status | |
| 113431 | | Missouri | Primary | |
| 3009332 | Family | Kentucky | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Douglas Allen Bouldin is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Integrated Medicine And Chiropractic Regeneration Center O (8426348418) | 10 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Douglas Allen Bouldin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 425690617 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Douglas Allen Bouldin
13353 Olive Blvd,
Chesterfield, Missouri |
| Zip: | 63017-3108 |
| Phone Number: | 636-473-8873 |
Patients can reach Douglas Allen Bouldin at
13353 Olive Blvd, Chesterfield, Missouri or can
call to book an appointment on 636-473-8873.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.