Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1467459529 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Ray Boardman , DC

Chiropractor • Louisville, KY

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Boardman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Boardman, DC was a registered Chiropractor practicing in Louisville, KY. Throughout an active medical career spanning 1 years, Dr. Boardman provided care at the practice location at 12464 LA GRANGE RD until profile deactivation on 2006-03-20.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

12464 La Grange Rd

Louisville, KY 402451901

Telephone 5022052090
Fax 5022052091
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Louisville, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.6 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
227 Specialists

Practicing in Louisville, KY (1079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
531 42 $57.37 $37.69

Medical Specialties & State Licenses

CMS Verified: 2023-11-20
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License KY 4366

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem Bcbs
000000192198 (KY)
Commercial Insurance / Payer ID Cha
000000088188 (KY)
Commercial Insurance / Payer ID Aetna
7646218 (KY)

Secondary Practice Locations

220 Geri Ln

Richmond, KY 404752689

Phone: 8596234123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1013003771

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 20, 2023

Registered at 12464 LA GRANGE RD, LOUISVILLE, KY 402451901 (Tel: 5022052090)

📍
Updated Business Mailing Address November 20, 2023

Registered at 12464 LA GRANGE RD, LOUISVILLE, KY 402451901 (Tel: 5022052090)

📍
Updated Practice Location July 08, 2007

Registered at 220 GERI LN, RICHMOND, KY 404752689 (Tel: 8596234123)

📍
Updated Business Mailing Address July 08, 2007

Registered at 220 GERI LN, RICHMOND, KY 404752689 (Tel: 8596234123)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT BOARDMAN, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #4366 in KY)

🔄
NPI Profile Reactivated April 05, 2006

Record officially reactivated for active practice on April 05, 2006

⚠️
NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

🟢
Initial NPI Registration & Enumeration July 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Robert Boardman. Be the first to share your experience!

Sign in to leave a review for Dr. Robert Boardman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1467459529
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2005
Last Update: November 20, 2023
Deactivation Date: March 20, 2006
Sole Proprietor: No

Mailing Address

12464 La Grange Rd

Louisville, KY 402451901

Phone: 5022052090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.