Doctor profile · Federal record
Dr. Douglas Bouldin, FNP-C
Nurse Practitioner · Family Nurse Practitioner · Chesterfield, MO
- NPI 1770568727
- 21 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
13353 Olive Blvd
Chesterfield, MO 630173108
(636) 473-8873
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- March 16, 2016
- Specialty taxonomy
- 363L00000X — NUCC code
- State licenses (2)
- Missouri #113431 · Kentucky #3009332
- Medicaid
- MO #425690617
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770568727. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$73
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Fidia Pharma USA INC. | 1 | $73.03 |
By nature of payment
Frequently asked questions
What is Dr. Douglas Bouldin's medical specialty?
Dr. Douglas Bouldin practices Nurse Practitioner in Chesterfield, MO.
Where does Dr. Douglas Bouldin practice?
Dr. Douglas Bouldin practices at 13353 Olive Blvd, Chesterfield, MO 630173108. Office phone: 6364738873.
What is Dr. Douglas Bouldin's NPI?
Dr. Douglas Bouldin's National Provider Identifier (NPI) is 1770568727, issued by NPPES.