DR. ROBERT MARK BODENHAMER M.D. NPI 1366436693

NPI Information

  • NPI: 1366436693
  • Provider Name: DR. ROBERT MARK BODENHAMER, M.D.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4050 W MEMORIAL RD FL 3
    OKLAHOMA CITY, OK
    ZIP 73120
  • Phone: (405) 608-3800

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NPI Details

DR. Robert Mark Bodenhamer, M.D. is a thoracic surgery cardiothoracic vascular surgery in Oklahoma City, OK with 47 years of experience. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. DR. Robert Mark Bodenhamer, M.D. NPI is 1366436693. 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:

4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK
ZIP 73120-382
Phone: (405) 608-3800
Fax: (405) 608-4768

The NPI 1366436693 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Harvest of vein using an endoscope (HCPCS:33508)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Coronary artery bypass using artery graft, 1 graft (HCPCS:33533)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Coronary artery bypass using vein or artery graft, 2 grafts (HCPCS:33518)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Replacement of aortic valve on heart-lung machine (HCPCS:33405)
  • Extensive destruction and reconstruction of right upper heart chamber on heart-lung machine (HCPCS:33259)
  • Coronary artery bypass using vein or artery graft, 3 grafts (HCPCS:33519)
  • Replacement of mitral valve on heart-lung machine (HCPCS:33430)
  • Coronary artery bypass graft (CABG) (HCPCS:NAN07)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 9/1/2005 and was last updated on 6/6/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)12800OKLAHOMAYes
2208600000XSurgery12800OKLAHOMANo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020047750OTHEROKLAHOMARRMDR

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: 11/21/2025

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