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DR. GARY ROY BODNER M.D. NPI 1841286648


NPI Information

NPI: 1841286648
Provider Name: DR. GARY ROY BODNER, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
5515 POWERS RIDGE CT
ATLANTA, GA
ZIP 30327
Phone: (770) 952-4945
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DR. Gary Roy Bodner, M.D. is an obstetrics gynecology in Atlanta, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Gary Roy Bodner, M.D. NPI is 1841286648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5515 POWERS RIDGE CT
ATLANTA, GA
ZIP 30327-295
Phone: (770) 952-4945
Fax: (770) 952-0320

The enumeration date for this NPI number is 9/27/2005 and was last updated on 10/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology18205GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000117686FMEDICAIDGEORGIA
2000117686LMEDICAIDGEORGIA
3D28961MEDICARE UPINGEORGIA
4000117686GMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.