Janet Bodle, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G030961 Issued in CA

Practice address

100A Drake's Landing Road
Suite 225
Greenbrae, CA 94904-3032

Phone

(415) 924-1214

Fax

(415) 924-1375

NPI assigned

Mar 17, 2007

Last updated

Aug 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1013031913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100A DRAKE'S LANDING ROAD",
            "address_2": "SUITE 225",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949043032",
            "telephone_number": "415-924-1214",
            "fax_number": "415-924-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100A DRAKE'S LANDING ROAD",
            "address_2": "SUITE 225",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949043032",
            "telephone_number": "415-924-1214",
            "fax_number": "415-924-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODLE",
        "first_name": "JANET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G030961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Biddle, NP
• James Vincent Birrell, DDS
• Teresa Black, M.D.
• Cynthia Anne Blair
• Amy Blevins, FNP
• Michelle Nichols Bourke, M.D.
• Joel Bovey
• Maestela Quial Boyles, PT
• Nella Tay Bracken, PT, DPT
• James L. Brandes, M.D.

• General Practice Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.