Michael Moran Gilbert Bodell

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

57.256601 Issued in OH

Practice address

395 W 12TH Ave
Columbus, OH 43210-1267

Phone

(614) 293-8315

NPI assigned

Mar 15, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1245931237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 WYANDOTTE RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432121037",
            "telephone_number": "614-940-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 12TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-293-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODELL",
        "first_name": "MICHAEL",
        "middle_name": "MORAN GILBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "57.256601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elaine Boddie
• Thomas Anthony Boddie
• Courtney Dawn Bode, CNP
• Ryan S Bode, MD
• Sara M Bode, M.D.
• Robin Bodem, LMT
• Doug Bodin, PHD
• Dale Michael Bodmer, LMT, PT
• Natalie S Bodnar, DO
• Olivia Louise Bodnar

• Diagnostic Radiology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.