Active NPI
William David Bodden, ARNP
- Family Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9304978
- Practice address
- 9130 S Dadeland Blvd Ste 1202
Miami, FL 33156-7848 - Phone
- (786) 888-8820
- NPI assigned
- Jun 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9304978 | FL | Primary |
Addresses
Primary practice location
9130 S Dadeland Blvd Ste 1202
Miami, FL 33156-7848
Mailing address
6484 SW 129TH Ave
Miami, FL 33183-1394
Phone (305) 283-5157
Other practice location 1
6484 SW 129th Ave
Miami, FL 33183-1394
Phone (305) 283-5157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5966 S Dixie Hwy
Suite 401
South Miami, FL 33143-5177
Phone (786) 453-2667
6125 SW 31St St
Miami, FL 33155-3003
Phone (305) 666-6511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9304978 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Florida, LLC | Current | Accepting new patients | |
| Ortho Florida, LLC | Current | Accepting new patients | |
| Urgent Care Physicians of West Kendall LLC | Past | Accepting new patients |
Locations
660 Glades Rd
Ste 460
Boca Raton, FL 33431
Phone (561) 300-1792
1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733
433 Plaza Real
Ste 275
Boca Raton, FL 33432
Phone (561) 262-0084
3650 NW 82nd Ave
Ste 201
Doral, FL 33166
Phone (305) 426-4263
6125 SW 31st St
Miami, FL 33155
Phone (305) 662-5056
Organizations & group practices 3
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.
-
- Specialist
- Boca Raton, FL
- NPI 1821113192
-
- Orthopaedic Surgery Physician
- Ft Lauderdale, FL
- NPI 1225833858
-
- General Practice Physician
- Miami, FL
- NPI 1508989757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1215422290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6484 SW 129TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331831394",
"telephone_number": "305-283-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9130 S DADELAND BLVD STE 1202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567848",
"telephone_number": "786-888-8820"
}
],
"practiceLocations": [
{
"address_1": "6484 SW 129th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331831394",
"country_code": "US",
"telephone_number": "305-283-5157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BODDEN",
"first_name": "WILLIAM",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-22",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9304978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.