E. James Bodmer, D.P.M., PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

0152 Issued in AZ

Legal business name

E. JAMES BODMER, D.P.M., PC

Practice address

9765 E Dead Sure PL
Gold Canyon, AZ 85218-7176

Phone

(480) 363-3066

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward James Bodmer, D.P.M.NPI 1801882006

Title

President

Phone

(480) 363-3066

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

E James Bodmer DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John W McGhan DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Gold Canyon, AZ
  • NPI 1871674234
  NPD tax ID

Practitioners 2

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

• Edward James Bodmer, DPM

  • Podiatrist
  • Gold Canyon, AZ
  • NPI 1801882006
  NPD Authorized official
• John Wayne McGhan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1881116762
  NPD

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1245423219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9765 E DEAD SURE PL",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852187176",
            "telephone_number": "480-363-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9765 E DEAD SURE PL",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "852187176",
            "telephone_number": "480-363-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. JAMES BODMER, D.P.M., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "BODMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-363-3066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AZ",
            "license": "0152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "0152",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Carol Dean, LCSW
• Deseret Family Medicine at Gold Canyon Arizona PLC
• Deseret Medical Associates PLC
• Katherine Weidner Donald, RN
• Doug S Clouse MD PLC
• Empowered Medicine
• Jennifer Marie Estefano, PMHNP-BC
• Daniel Finney, P.A.-C
• Foothills Sports Medicine & Rehabilitation - Gold Canyon, LLC
• Geomancie Promise LLC With Hellinger Systemic Constellations

• Health Service Clinic/Center in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• Health Service Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.