Shamanique Shamaona Bodie, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

M8542 Issued in TX

Practice address

24010 Thistlegate CT
Spring, TX 77373-7382

Phone

(281) 528-5146

NPI assigned

Feb 26, 2008

Last updated

Feb 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1316116080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24010 THISTLEGATE CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737382",
            "telephone_number": "281-528-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24010 THISTLEGATE CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737382",
            "telephone_number": "281-528-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODIE",
        "first_name": "SHAMANIQUE",
        "middle_name": "SHAMAONA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "M8542",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "M8542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BNJ Family Investments LLC Dba Hear Again America
• Yessika Boada, RN
• Priscilla Boahemaa, N.P.
• Mary Bob
• Erica Renee Bock, D.D.S.
• Erica Latrcia Body, RN
• Bodytest
• Dana Ray Boehm, DDS
• Heather Pearl Boen, LPC ASSOCIATE
• Carvalyn Hall Bogan

• Gynecology Physician in Spring, TX
• Providers in Spring, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.