Active NPI
David William Bodine
- Addiction (Substance Use Disorder) Counselor
- San Jose, CA
National Provider Identifier
1235955360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 135343
- Practice address
- 298 A Bernal Road
San Jose, CA 95119 - Phone
- (408) 780-0755
- Fax
- (408) 956-6269
- NPI assigned
- Nov 22, 2024
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 135343 | CA | Primary |
Addresses
Primary practice location
298 A Bernal Road
San Jose, CA 95119
Mailing address
298 Bernal Rd
San Jose, CA 95119-1809
Phone (408) 495-2728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135343 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1235955360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "298 BERNAL RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191809",
"telephone_number": "408-495-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 A BERNAL ROAD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95119",
"telephone_number": "408-780-0755",
"fax_number": "408-956-6269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODINE",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-22",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "135343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.