Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619774767 Individual Practitioner Male Practitioner

Alexander M Boardman

Specialist • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Alexander Boardman is a registered healthcare professional specializing in Specialist in Omaha, NE. Practice services are available at 12105 SHIRLEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12105 Shirley St

Omaha, NE 681442803

Telephone 4029176122
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 35.8 Yrs
Regional Practice Density
82 Specialists

Practicing in Omaha, NE (198 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-26
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 26, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2025

Registered at 12105 SHIRLEY ST, OMAHA, NE 681442803 (Tel: 4029176122)

📍
Updated Business Mailing Address February 26, 2025

Registered at 4715 S 132ND ST, OMAHA, NE 681371899 (Tel: 4024446500)

👤
Provider Name / Credentials Updated February 26, 2025

Recorded as ALEXANDER BOARDMAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2025

Specialist

🟢
Initial NPI Registration & Enumeration February 26, 2025

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 Alexander Boardman. Be the first to share your experience!

Sign in to leave a review for Alexander Boardman

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

NPI Administrative Meta

NPI Number: 1619774767
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2025
Last Update: February 26, 2025
Sole Proprietor: No

Mailing Address

4715 S 132nd St

Omaha, NE 681371899

Phone: 4024446500

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.