Active NPI
Joseph R Boggess, MD
- Anesthesiology Physician
- Powderly, KY
National Provider Identifier
1144209263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 13879
- Practice address
- 1008 Medical Center Dr
Powderly, KY 42367-5463 - Phone
- (270) 338-9929
- Fax
- (270) 338-1756
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 13879 | KY | Primary |
Addresses
Primary practice location
1008 Medical Center Dr
Powderly, KY 42367-5463
Mailing address
1008 Medical Center Dr
Powderly, KY 42367-5463
Phone (270) 338-9929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64138795 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144209263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 MEDICAL CENTER DR",
"city": "POWDERLY",
"state": "KY",
"postal_code": "423675463",
"telephone_number": "270-338-9929",
"fax_number": "270-338-1756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 MEDICAL CENTER DR",
"city": "POWDERLY",
"state": "KY",
"postal_code": "423675463",
"telephone_number": "270-338-9929",
"fax_number": "270-338-1756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGESS",
"first_name": "JOSEPH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "13879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64138795",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Powderly, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.