Daryl George Bodner, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD044040E Issued in PA

Practice address

810 Plaza Blvd
Lancaster, PA 17601-2762

Phone

(717) 394-5088

Fax

(717) 394-5590

NPI assigned

Sep 24, 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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: daryl.bodner@theentcenter.directbygreenway.com

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.

• Otolaryngology Physicians of Lancaster, LTD.

  • Otolaryngology Physician
  • Lancaster, PA
  • NPI 1134200181
  Medicare reassignment

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1184724601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 PLAZA BLVD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012762",
            "telephone_number": "717-394-5088",
            "fax_number": "717-394-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PLAZA BLVD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012762",
            "telephone_number": "717-394-5088",
            "fax_number": "717-394-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNER",
        "first_name": "DARYL",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD044040E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Kay Lynne Boas, CRNA
• Roger Wayne Boatwright, M.D.
• William R.a. Boben Jr., M.D.
• Shannon Lynn Bocchino
• Ward Bodnar, LPN
• Gail Bodner, M.D.
• Rita M Boer, LCSW
• Michael Joseph Boerger, MS
• Tyler Bogda, MS
• Janet Bogen, MD

• Otolaryngology Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.