Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Works Boardman, MD

Individual provider Diagnostic Radiology Physician · NPI 1164484721

Dr. John Works Boardman, MD is a Diagnostic Radiology in Beloit, Wisconsin. Graduated from University of Wisconsin School of Medicine in 1994, 32 years ago. Practices with Centra Medical Group LLC, a 717-clinician group and accepts Medicare assignment. Licensed in Virginia and Wisconsin.

Years since qualifying
32
Trained at
University of Wisconsin School of Medicine
Licensed in
VA, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1110 Chapin St
Beloit, WI 53511-6472
Phone: (608) 362-2343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 36892-20 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0101235454 (VA)

Record details

NPI number1164484721
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address22100 Bothell Everett Hwy, Bothell, WA 98021-8431

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations20 on file with Medicare

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