Boden Port, DO
Boden Port, DO is a General Practice Physician in Fe Warren Afb, WY, registered under NPI 1003519919.
Getting there
The practice address on file is 6900 ALDEN DR BLDG 160, Fe Warren Afb, WY 82005. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 02008108A | IN | General Practice Physician primary |
This provider holds licence 02008108A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - General Surgery
- PAC ID
- 4486016508
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - General Surgery. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What General Practice covers
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003519919 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 22, 2023 |
| Last updated | Apr 21, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | DO |
| Practice address |
6900 ALDEN DR BLDG 160 Fe Warren Afb, WY 82005 (307) 773-3039 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 5 | 1 | 9 | 9 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 1 | 1 | 9 | 9 | 2 |
Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.