DR. GARY ROSCOE GARDNER D.C
NPI 1083620041
Chiropractor in Louisville, KY

Active since July 31, 2006
13106 SHELBYVILLE RD, LOUISVILLE, KY 40243(502) 253-0025(502) 253-9933 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gary Roscoe Gardner D.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY ROSCOE GARDNER D.C (NPI 1083620041) is an individual chiropractor in Louisville, Kentucky, licensed in Kentucky (4707) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1083620041
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GARY ROSCOE GARDNERCredential: D.C
Location Address13106 SHELBYVILLE RDLouisville, KY 40243-1572
Mailing Address5213 Windy Willow DrLouisville, KY 40241-1360 · (502) 241-6730 · Fax (502) 253-9933
Fax(502) 253-9933
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1083620041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in KY · 4707
Definition

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.

13106 SHELBYVILLE RD, Louisville, KY 40243

Other Identifiers 6

Other7135162KY · Aetna Provider Number
Other3428389KY · Cigna Provider Number
Medicare ID-Type Unspecified0787703KY · Medicare Provider Number
Other000000347132KY · Bcbs Provider Number
Other650593KY · United Health Care Number
Medicaid50005767KY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
13106 SHELBYVILLE RD
LOUISVILLE, KY 40243

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Gardner's NPI number?

The NPI number for Gary Gardner is 1083620041. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Gary Gardner located?

Gary Gardner practices at 13106 Shelbyville Rd, Louisville, KY 40243. The listed phone number is (502) 253-0025.

What is Gary Gardner's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Gary Gardner was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.