Henry Cabot Lodge Bohler Jr., M.D.
Individual provider Active NPI Obesity Medicine (Obstetrics & Gynecology) Physician · Prospect, KY
NPI 1366475568 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1366475568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obesity Medicine (Obstetrics & Gynecology) Physician 207VB0002X
- License
- 38316 (KY)
- Practice address
- 9412 Civic Way Apt 210
Prospect, KY 40059-5103 - Phone
- (502) 373-0110
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040510000285 | KY | Practitioner - Obstetrics/Gynecology | 5597754184 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38316 | KY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current |
Accepting new patients | |
| University of Louisville Physicians, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| University of Louisivlle Physicians | Current |
Accepting new patients | |
| The University Gynecological & Obstetrical Foundation, Inc. | Past | Accepting new patients | |
| University Obstetrical and Gynecological Associates, PSC | Past | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
401 E Chestnut St
Unit 410
Louisville, KY 40202
Phone (502) 271-5999
550 S Jackson St
Louisville, KY 40202
Phone (502) 561-8686
550 S Jackson St
#3
Louisville, KY 40202
Phone (502) 561-8850
529 S Jackson St
Fl 3
Louisville, KY 40202
Phone (502) 561-7220
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 38316 | KY | |
| Reproductive Endocrinology Physician | 207VE0102X | 38316 | KY | |
| Obesity Medicine (Obstetrics & Gynecology) Physician | 207VB0002X | 38316 | KY | Yes |
Addresses
Primary practice location
9412 Civic Way Apt 210
Prospect, KY 40059-5103
Mailing address
9412 Civic Way Apt 210
Prospect, KY 40059-5103
Phone (502) 444-5767
Other practice location 1
1009 N 3rd St
Bardstown, KY 40004-2616
Phone (502) 373-0110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200463200 | Medicaid | IN | |
| 64924855 | Medicaid | KY |
Other providers in Prospect, KY
- Elizabeth V. Bates
- Caraline Aspen Baughman
- James L. Bersot Jr.
- Pamela C Biddle
- Catherine K Birchfield
- Catherine Bickel Booker
- Paul Boone
- James William Bosler III
- Carrie Brantley
- Corrissa D Brown
All providers in Prospect, KY · Obesity Medicine (Obstetrics & Gynecology) Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.