Bertrand Bodo, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP130666 Issued in TX

Practice address

8214 Milwaukee Ave
Ste 200
Lubbock, TX 79424-0923

Phone

(806) 475-5544

Fax

(806) 475-5545

NPI assigned

Mar 24, 2016

Sex

Male

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Orthopedic Surgery L.L.P.Group PAC ID 3173579844, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Orthopedic Surgery L.L.P.

  • Orthopaedic Surgery Physician
  • Lubbock, TX
  • NPI 1093873176
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lubbock Heritage Hospital, LLC.

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1225289499
  Care Compare affiliation

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1013379304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 MILWAUKEE AVE",
            "address_2": "STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240923",
            "telephone_number": "806-475-5544",
            "fax_number": "806-475-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8214 MILWAUKEE AVE",
            "address_2": "STE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240923",
            "telephone_number": "806-475-5544",
            "fax_number": "806-475-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODO",
        "first_name": "BERTRAND",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP130666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Boaz, MSN, APRN, FNP-BC
• Bobby D Jones, Inc
• Bobby D Jones, Inc
• Bobby G. Carter
• Surender R Bodhireddy, MD
• Bodyworks PT, LLC
• Emily Denice Boecker
• Bridget Boeger
• Elisa Sandoval Boese, PT
• Renee J. Bogschutz, PHD

• Acute Care Nurse Practitioner in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.