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ALEXANDER M BOARDMAN
NPI 1619774767
Specialist in Omaha, NE

Active since February 26, 2025
12105 SHIRLEY ST, OMAHA, NE 68144(402) 917-6122 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexander M Boardman NPPES

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

ALEXANDER M BOARDMAN (NPI 1619774767) is an individual specialist in Omaha, Nebraska and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1619774767
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameALEXANDER M BOARDMAN
Location Address12105 SHIRLEY STOmaha, NE 68144-2803
Mailing Address4715 S 132nd StOmaha, NE 68137-1899 · (402) 444-6500
Phone(402) 917-6122
Sole ProprietorNo
Enumeration DateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
✔ NPI 1619774767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
12105 SHIRLEY ST, Omaha, NE 68144
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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 Alexander Boardman's NPI number?

The NPI number for Alexander Boardman is 1619774767. It was assigned to this individual provider in the NPPES registry on February 26, 2025.

Where is Alexander Boardman located?

Alexander Boardman practices at 12105 Shirley St, Omaha, NE 68144. The listed phone number is (402) 917-6122.

What is Alexander Boardman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Alexander Boardman was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.