Marc Anthony Bobrow, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5084 Issued in KY

Practice address

5209 Dixie Hwy
Louisville, KY 40216-1758

Phone

(502) 995-0099

Fax

(502) 449-1280

NPI assigned

Apr 1, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1306088653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161758",
            "telephone_number": "502-995-0099",
            "fax_number": "502-449-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402161758",
            "telephone_number": "502-995-0099",
            "fax_number": "502-449-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBROW",
        "first_name": "MARC",
        "middle_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50030081",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100131040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Scott Boatright, DMD
• George William Boatwright, MD
• Delora K. Boaz, LCSW, LCADC
• Jennifer Leigh Bobo, LCSW
• Viorel Boborodea, MD
• Braden Ross Bocard, MD
• Lauren Elizabeth Boccieri, APRN
• Mary Bock
• Paul David Bock, PHD
• Jeremy Bockelman, APRN

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.