Nancy Elizabeth Bodelson, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

22097 Issued in CO

Practice address

14847 W 31St Ave
Golden, CO 80401-1309

Phone

(303) 279-7728

Fax

(303) 279-7740

NPI assigned

Dec 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nancy Tuerk Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1295064749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14847 W 31ST AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011309",
            "telephone_number": "303-279-7728",
            "fax_number": "303-279-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14847 W 31ST AVE",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804011309",
            "telephone_number": "303-279-7728",
            "fax_number": "303-279-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODELSON",
        "first_name": "NANCY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "22097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "TUERK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Golden, CO
• Emergency Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.