Individual provider Active NPI

Henry Cabot Lodge Bohler Jr., M.D.

  • Obesity Medicine (Obstetrics & Gynecology) Physician
  • Prospect, KY
National Provider Identifier
1366475568
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VB0002X
License
38316 Issued in KY
Practice address
9412 Civic Way Apt 210
Prospect, KY 40059-5103
Phone
(502) 373-0110
NPI assigned
Jul 9, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 38316 KY
Reproductive Endocrinology Physician 207VE0102X 38316 KY
Obesity Medicine (Obstetrics & Gynecology) Physician 207VB0002X 38316 KY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000285 KY Practitioner - Obstetrics/Gynecology 5597754184 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisivlle Physicians CurrentSince Apr 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Apr 1, 2012 Accepting new patients
University of Louisville Physicians, Inc. Obstetrics & Gynecology Current Accepting new patients
University Obstetrical and Gynecological Associates, PSC Past Accepting new patients
The University Gynecological & Obstetrical Foundation, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

401 E Chestnut St
Unit 410
Louisville, KY 40202
Phone (502) 271-5999

529 S Jackson St
Fl 3
Louisville, KY 40202
Phone (502) 561-7220

550 S Jackson St
Louisville, KY 40202
Phone (502) 561-8686

550 S Jackson St
#3
Louisville, KY 40202
Phone (502) 561-8850

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1366475568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 CIVIC WAY APT 210",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400595103",
            "telephone_number": "502-444-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 CIVIC WAY APT 210",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400595103",
            "telephone_number": "502-373-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042616",
            "country_code": "US",
            "telephone_number": "502-373-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHLER",
        "first_name": "HENRY",
        "middle_name": "CABOT LODGE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "38316",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "KY",
            "license": "38316",
            "primary": false
        },
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "KY",
            "license": "38316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, KY

Sources for this page

Verify at the official NPI Registry.