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MR. THOMAS ROBERT BODENSTINE M.D. NPI 1659345197


NPI Information

NPI: 1659345197
Provider Name: MR. THOMAS ROBERT BODENSTINE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1321 OBERLIN RD
A
RALEIGH, NC
ZIP 27608
Phone: (919) 828-4747
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MR. Thomas Robert Bodenstine, M.D. is a pediatrics in Raleigh, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MR. Thomas Robert Bodenstine, M.D. NPI is 1659345197. 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:

1321 OBERLIN RD
A
RALEIGH, NC
ZIP 27608-052
Phone: (919) 828-4747
Fax: (919) 828-6765

The enumeration date for this NPI number is 2/13/2006 and was last updated on 7/8/2007.


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
1208000000XPediatricsNORTH CAROLINAYes

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
1H23667MEDICARE UPINNORTH CAROLINA
289126XWMEDICAIDNORTH CAROLINA

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.