Organization Active NPI

John E. Bodden, M.D.P.a.

  • Orthopaedic Surgery Physician
  • Pompano Beach, FL
National Provider Identifier
1174548093
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0021447 Issued in FL
Legal business name
JOHN E. BODDEN, M.D.P.A.
Practice address
440 E Sample Rd
Suite #106
Pompano Beach, FL 33064-4444
Phone
(954) 943-3303
Fax
(954) 785-3200
NPI assigned
Jul 13, 2006
Last updated
Jul 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. John E Bodden, M.D.
Title
Orthopaedic Surgeon
Phone
(954) 943-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X ME0021447 FL Primary

Addresses

Primary practice location

440 E Sample Rd
Suite #106
Pompano Beach, FL 33064-4444

Mailing address

440 E Sample Rd
Suite #106
Pompano Beach, FL 33064-4444
Phone (954) 943-3303

National Provider Directory

National Provider Directory

Locations

440 E Sample Rd
Ste 106
Pompano Beach, FL 33064
Phone (954) 240-3939

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1174548093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E SAMPLE RD",
            "address_2": "SUITE #106",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644444",
            "telephone_number": "954-943-3303",
            "fax_number": "954-785-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E SAMPLE RD",
            "address_2": "SUITE #106",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644444",
            "telephone_number": "954-943-3303",
            "fax_number": "954-785-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. BODDEN, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "BODDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "954-943-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0021447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.