P Praxis·MD
● Active Type 1 · Individual

DR. Jacques Maurice Bouchard, M.D.

Family Medicine·Moscow, ID· NPI 1073871844 · Enumerated 2012 · 14 years on NPI
Bouchard is 1 of 34 family medicine providers in Moscow and 1 of 1691 in Idaho.
NPI age
14 years
Enumerated 2012-04-30
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1691 active family medicine providers in Idaho.

NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
515 S Almon St Apt A
Moscow, ID 838432986
📞 2085503060fax 2082101640
Mailing address
515 S Almon St Apt A
Moscow, ID 838432986
📞 2085503060fax 2082101640

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #M-14719 taxonomy 207Q00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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