JOHN A BODINE MD NPI 1700822673

NPI Information

NPI: 1700822673
Provider Name: JOHN A BODINE, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
7253 AMBASSADOR RD
BALTIMORE, MD
ZIP 21244
Phone: (443) 436-1151
Get Directions

John A Bodine, MD is a diagnostic radiology radiology in Baltimore, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. John A Bodine, MD NPI is 1700822673. 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:

7253 AMBASSADOR RD
BALTIMORE, MD
ZIP 21244-710
Phone: (443) 436-1151
Fax: (443) 436-1256

The enumeration date for this NPI number is 6/21/2006 and was last updated on 6/20/2008.

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
1	2085R0204X	Radiology	Vascular & Interventional Radiology	D0028720	MARYLAND	No
2	2085R0202X	Radiology	Diagnostic Radiology	D0028720	MARYLAND	Yes

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
1	527L632C	MEDICARE PIN	MARYLAND
2	369291400	MEDICAID	MARYLAND
3	300076090	MEDICARE PIN
4	D77841	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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