Robert Ray Boardman Iv
D.C. | Chiropractor | 29+ years Exp
Medicare Enrolled
12464 La Grange Rd, Louisville
Kentucky, 40245-1901
502-205-2090 502-205-2091
Maps & Directions is a Louisville, Kentucky based chiropractor with
29 years of experience in
General Chiropractic. He completed his graduation from
Palmer College Chiropractic - West Sunnyvale in 1996. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Robert Ray Boardman Iv as General Chiropractic is
4366 in Kentucky.
Robert Ray Boardman Iv is qualified as 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.
Complete Profile:
Robert Ray Boardman Iv speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | General Chiropractic |
| Credentials: | D.C. |
| Experience: | 29+ years |
| Medical School Attended: | Palmer College Chiropractic - West Sunnyvale |
| Graduation Year: | 1996 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 12464 La Grange Rd, Louisville,
Kentucky, 40245-1901 |
| Phone: | 502-205-2090 |
| Fax: | 502-205-2091 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3678462249 |
| Enrollment ID: | I20040311001396 |
| NPI Number: | 1467459529 |
| NPI Enumeration Date: | 05 Jul, 2005 |
| NPI Last Update On: | 20 Nov, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert Ray Boardman Iv are as mentioned below.
| License Number | Specialization | State | Status | |
| 4366 | Chiropractor | Kentucky | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Robert Ray Boardman Iv such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000192198 | Other | Kentucky | ANTHEM BCBS |
| 000000088188 | Other | Kentucky | CHA |
| 7646218 | Other | Kentucky | AETNA |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12464 La Grange Rd,
Louisville, Kentucky |
| Zip: | 40245-1901 |
| Phone Number: | 502-205-2090 |
| Fax Number: | 502-205-2091 |
Patients can reach Robert Ray Boardman Iv at
12464 La Grange Rd, Louisville, Kentucky or can
call to book an appointment on 502-205-2090.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.