DR. BRANDON CHARLES BODAGER M.D. NPI 1811263304

NPI Information

  • NPI: 1811263304
  • Provider Name: DR. BRANDON CHARLES BODAGER, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10945 N PORT WASHINGTON RD STE 201
    MEQUON, WI
    ZIP 53092
  • Phone: (262) 292-3151

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NPI Details

DR. Brandon Charles Bodager, M.D. is a diagnostic radiology radiology in Mequon, WI with 14 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Brandon Charles Bodager, M.D. NPI is 1811263304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:2012

The provider's business location address is:

10945 N PORT WASHINGTON RD STE 201
MEQUON, WI
ZIP 53092-078
Phone: (262) 292-3151

The NPI 1811263304 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.

  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of abdomen, 1 view (HCPCS:74018)

The enumeration date for this NPI number is 3/28/2012 and was last updated on 2/14/2025.

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
12085R0202XRadiologyDiagnostic Radiology61321WISCONSINYes

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
1100063658MEDICAIDWISCONSIN

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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