Dr. Benjamin Jelinek Boardman, MD
Family Medicine in Onalaska, WI. Individual provider (NPI-1).
NPI number1487749396
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1487749396
- Entity type
- Individual (NPI-1)
- Name
- Dr. Benjamin Jelinek Boardman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Certification date
- Oct 11, 2024
- Last updated
- Oct 11, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 39498 | WI | Yes |
Practice location
3111 Gundersen DrOnalaska, WI 54650-8447
Phone 608-782-7300
Mailing address
1836 South AveLa Crosse, WI 54601-5429
Phone 608-782-7300
Other practice locations
N6520 Guy Road
Black River Falls, WI 54615
Black River Falls, WI 54615
Phone 715-284-9851 · Fax 715-284-5150
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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