Organization Active NPI

Bodkhe & Dickey Associates, LLC

  • Adult Medicine Physician
  • Greenfield, MA
National Provider Identifier
1194735449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
75064 Issued in MA
Legal business name
BODKHE & DICKEY ASSOCIATES, LLC
Practice address
51 Sanderson St Ste 10
Greenfield, MA 01301-2739
Phone
(413) 772-6040
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jefferson Dickey, MDNPI 1689696924
Title
Owner
Phone
(413) 772-6040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X 75064 MA Primary

Addresses

Primary practice location

51 Sanderson St Ste 10
Greenfield, MA 01301-2739

Mailing address

PO Box 910
Greenfield, MA 01302-0910
Phone (413) 772-8500

Other identifiers 10

IdentifierTypeStateIssuer
61318OtherMAHARVARD PILGRIM
BOJ12140OtherMABC LOCAL TEAMSTERS
20471OtherMABMC HEALTHNET
0320978MedicaidMA
075064OtherMATUFTS
1011419MedicaidVT
P00125351OtherMARR MEDICARE
075064OtherMACIGNA
J12140OtherMABC/BS MA
3089703MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194735449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013020910",
            "telephone_number": "413-772-8500",
            "fax_number": "413-772-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SANDERSON ST STE 10",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012739",
            "telephone_number": "413-772-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODKHE & DICKEY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-772-6040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MA",
            "license": "75064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "61318",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC LOCAL TEAMSTERS",
            "identifier": "BOJ12140",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "20471",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0320978",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "075064",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011419",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00125351",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "075064",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MA",
            "identifier": "J12140",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089703",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.