Mark Ricard Boudreau Jr., DO

Mark Ricard Boudreau Jr. is a Pediatrics Physician provider (Pediatrics) practicing in Rome, GA, registered in the NPPES registry with NPI 1659834323 since 2019. The credential DO stands for Doctor of Osteopathic Medicine.

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NPI	1659834323
Entity type	Individual (Type 1)
Name	Mark Ricard Boudreau Jr.
Credential	DO
Sex	Male
Practice address	304 SHORTER AVE NW STE 105, Rome, GA, 30165
Phone	7062364880
Enumeration date	2019-04-10
Last updated in NPPES	2023-05-26

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
208000000X	Pediatrics Physician	Primary	11273	GA

DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Copy-ready billing details

Provider: Mark Boudreau, DO
NPI: 1659834323
Taxonomy: 208000000X (Pediatrics Physician)
Address: 304 SHORTER AVE NW STE 105, Rome, GA, 30165

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1679513360	Rogena Cordle	Individual	Pediatrics Physician	Rome, GA
1891712535	Karen Timberlake	Individual	Pediatrics Physician	Rome, GA
1770760399	Sylvia Washington	Individual	Pediatrics Physician	Rome, GA
1750630349	Richard Barnes	Individual	Pediatrics Physician	Rome, GA
1558856401	Amanda Ingram	Individual	Primary Care Nurse Practitioner	Rome, GA

Verify this record

Cross-check NPI 1659834323 against the authoritative CMS record: view Mark Ricard Boudreau Jr. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Mark Boudreau?

Mark Boudreau is registered in NPPES with the primary taxonomy of Pediatrics Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-05-26.