NPI age
19 years
Enumerated 2007-04-02
● Active Type 2 · Organization
The Pediatric And Adolescent Center, Inc.
The Pediatric And Adolescent Center, Inc. is 1 of 9 legal medicine organizations in Idaho.
Primary specialty
Legal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bourquard
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 9 active legal medicine providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
6148 N Discovery Way, Suite 100
Boise, ID 837130201
Mailing address
6148 N Discovery Way, Suite 100
Boise, ID 837130201
Authorized official
William Sullivan Bourquard, M.D
Owner
📞 2083225437
Individual providers at this organization
2 individual providers on file at this primary practice address.
- William Bourquard, MD Pediatrics NPI 1568451193
- Cathy Sandstrom, MD Pediatrics NPI 1215926845
Specialties
-
Legal Medicine PrimaryThe specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.