IndividualActive
Bobby Self
NPI 1568238343 · Driver · Boonville, MO
Provider details
- NPI number
- 1568238343
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- D135089004 (MO)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1728 Jesse James Ct
Boonville, MO 65233-2874
Phone: (573) 540-7160
Street-level locationGet directions
Mailing address
1728 Jesse James Ct
Boonville, MO 65233-2874
Registry dates
- Enumerated
- 2023-12-01
- Last updated
- 2023-12-01
- Certified
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.