Individual provider Active NPI

William David Bodden, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1215422290
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9304978 Issued in FL
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

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230515002995 FL Practitioner - Nurse Practitioner 3072979145 Reassigns benefits to 1 organization

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
Ortho Florida LLCGroup PAC ID 3274616453, 121 clinicians

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

LicenseStateTypeSpecialty
9304978FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Florida, LLC CurrentSince Apr 1, 2023 Accepting new patients
Ortho Florida, LLC CurrentSince Apr 1, 2023 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.

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

Verify at the official NPI Registry.