Paul Zoltan Bodnar, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D0024545 Issued in MD

Practice address

849 Fairmont Avenue
Suite 100a
Towson, MD 21286-2600

Phone

(410) 494-1369

Fax

(410) 494-2737

NPI assigned

Mar 16, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: paulbodnar@msp.allscriptsdirect.net

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1093784639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FAIRMOUNT AVE",
            "address_2": "SUITE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865466",
            "telephone_number": "410-494-1369",
            "fax_number": "410-494-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 FAIRMONT AVENUE",
            "address_2": "SUITE 100A",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862600",
            "telephone_number": "410-494-1369",
            "fax_number": "410-494-2737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Fairmount Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212865466",
            "country_code": "US",
            "telephone_number": "410-494-1369",
            "fax_number": "410-494-2737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "PAUL",
        "middle_name": "ZOLTAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0024545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Boblooch, LCPC, LCPAT
• Rosita A Bock
• Michelle L Bode, AU.D.
• Josie Ann Bodenstein, LCSW
• Vicki Lynn Bodison, PH.D.
• Jonathan H Boebinger, DC
• Keith A. Boenning, D.D.S., LLC
• David P Boersma, M.D.
• Cassandra Bogle, LCSW-C
• Ruth Gayle Bohlman, LCSWC

• Pediatrics Physician in Towson, MD
• Providers in Towson, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.