DR. CARL JAY BODENSTEIN MD NPI 1811960156

NPI Information

NPI: 1811960156
Provider Name: DR. CARL JAY BODENSTEIN, MD
Classification: Pediatrics - 2080N0001X
Entity Type: Individual

Specialization: Neonatal-Perinatal Medicine

PECOS Registration: Yes

Address:
105 W 8TH AVE
STE 336C
SPOKANE, WA
ZIP 99204
Phone: (509) 455-8855
Get Directions

DR. Carl Jay Bodenstein, MD is a neonatal-perinatal medicine pediatrics in Spokane, WA. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Carl Jay Bodenstein, MD NPI is 1811960156. 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:

105 W 8TH AVE
STE 336C
SPOKANE, WA
ZIP 99204-302
Phone: (509) 455-8855
Fax: (509) 455-8383

The NPI 1811960156 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 enumeration date for this NPI number is 2/8/2006 and was last updated on 12/21/2009.

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	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	MD00020651	WASHINGTON	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	Other Provider Identifier Issuer
1	BO6528	OTHER	WASHINGTON	ASURIS NW HEALTH
2	KA345	OTHER	WASHINGTON	BLUE CROSS OF IDAHO
3	911922781	OTHER	WASHINGTON	PREMERA
4	10004603	OTHER	WASHINGTON	REGENCE BLUE S. OF IDAHO
5	911922781	OTHER	WASHINGTON	PHCO
6	205997	MEDICAID	OREGON
7	911922781	OTHER	WASHINGTON	GROUP HEALTH NW
8	911922781	OTHER	WASHINGTON	CIGNA
9	5404342	OTHER	WASHINGTON	AETNA
10	911922781	MEDICAID	WASHINGTON
11	000038801	MEDICAID	IDAHO
12	911922781	OTHER	WASHINGTON	UNITED HEALTH CARE
13	0000108137	MEDICAID	MONTANA
14	8458507	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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