Active NPI
David J Bodne, MD
- Diagnostic Radiology Physician
- Brooks, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036687
- Practice address
- 535 Mask Rd
Brooks, GA 30205-2214 - Phone
- (833) 228-6889
- Fax
- (877) 853-0376
- NPI assigned
- Jul 1, 2005
- Last updated
- May 21, 2026
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 23913 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | C195626 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 036.167992 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 036687 | GA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 2024026884 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 16259C | WY | |
| Diagnostic Radiology Physician | 2085R0202X | 20363 | ND | |
| Diagnostic Radiology Physician | 2085R0202X | MC-185 | GU |
Addresses
Primary practice location
535 Mask Rd
Brooks, GA 30205-2214
Mailing address
1010 N 102ND St Ste 201
Omaha, NE 68114-2122
Phone (833) 228-6889
Other practice location 1
2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000
Other practice location 2
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Other practice location 3
745 Poplar Road
Newnan, GA 32605-1618
Phone (770) 400-1000
Other practice location 4
6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 406-5888
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51500979 | Other | AL | BLUE CROSS BLUE SHIELD AL |
| 009948040 | Medicaid | AL | |
| 000542264M | Medicaid | GA | |
| P01064288 | Other | GA | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN, TX, SC, CT, ND, WY, MA, NC, MO, CA, NE, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 13
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of South Florida College of Medicine, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Spartanburg Medical Center
Practice addresses (Care Compare)
Brooks, GA 30205
Phone (910) 615-4000
101 E Wood St
Spartanburg, SC 29303-3040
114 Woodland St
Hartford, CT 06105-1208
Phone (680) 714-4303
119 Upper Riverdale Rd SW
Riverdale, GA 30274-2540
Phone (770) 991-1010
1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000
1470 Sugarland Dr
Suite 1
Sheridan, WY 82801-5774
Phone (307) 673-2411
1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1339
1538 13TH Ave
B200
Columbus, GA 31901-2562
Phone (706) 320-2547
1600 S 48TH St
Lincoln, NE 68506-1227
Phone (402) 489-9400
184 Merion
Saint Simons Island, GA 31522-2416
Phone (859) 219-0542
2305 37TH Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000
27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000
3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000
500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172
535 Mask Rd
Brooks, GA 30205-2214
Phone (515) 239-4456
575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2546
9 Brandenberry Rd
Savannah, GA 31411-2202
Phone (308) 398-6400
PO Box
Suite 1257
Hannibal, MO 63401-1257
Phone (573) 248-5460
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23913 | AL | MD | Specialist |
| 91481 | SC | MD | Pulmonary Disease Physician |
| C195626 | CA | MD | Diagnostic Radiology Physician |
| 036687 | GA | MD | Diagnostic Radiology Physician |
| MC-185 | GU | MD | Diagnostic Radiology Physician |
| 036.167992 | IL | MD | Diagnostic Radiology Physician |
| 2024026884 | MO | MD | Diagnostic Radiology Physician |
| 20363 | ND | MD | Diagnostic Radiology Physician |
Practice roles (60 of 63)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| East Georgia Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Cheyenne Radiology Group | Current | Accepting new patients | |
| Spartanburg Medical Center | Specialist | Current | Accepting new patients |
| Trinity Health | Current | Accepting new patients | |
| Valley Radiology P a | Diagnostic Radiology | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Spartanburg Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Memorial Hospital of Sheridan County | Family Medicine | Current | Accepting new patients |
| Western Mass Physician Associates Inc | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Lincoln Radiology Group P C | Diagnostic Radiology | Current | Accepting new patients |
| Guam Healthcare Development Incorporated | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Western Mass Physician Associates Inc | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Columbus Regional Healthcare System | Current | Accepting new patients | |
| Guam X-Ray | Diagnostic Radiology | Current | Accepting new patients |
| Mahaska County Hospital | Family Medicine | Current | Accepting new patients |
| Great Plains Radiology LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiant Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Radiology & Medical Imagery of Newnan, PC | Diagnostic Radiology | Current | Accepting new patients |
| The West Clinic P.C. | Specialist | Current | Accepting new patients |
| Southern Radiology Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Breast Imaging of Georgia PA | Diagnostic Radiology | Current | Accepting new patients |
| South Atlanta Radiology Associates- Griffin | Diagnostic Radiology | Current | Accepting new patients |
| Scotland Memorial Hospital Inc | Current | Accepting new patients | |
| Memorial Hospital of Sheridan County | Current | Accepting new patients | |
| The West Clinic P.C. | Current | Accepting new patients | |
| Gnosis for Her LLC | Current | Accepting new patients | |
| Scotland Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Spartanburg Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Baptist Physician Network | Specialist | Current | Accepting new patients |
| Trinity Health | Current | Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| McFarland Clinic PC | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Physicians of Cape Cod Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Serena D. Tidwell, M.D., P.C. | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Current | Accepting new patients |
| Holyoke Medical Center, Inc. | Current | Accepting new patients | |
| Infinite Consulting Empire, LLC | Current | Accepting new patients | |
| South Atlanta Radiology Associates, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Camelot Radiology Associates LTD | Diagnostic Radiology | Current | Accepting new patients |
| Big Horn Health Network | Current | Accepting new patients | |
| Western Mass Physician Associates Inc | Family Medicine | Current | Accepting new patients |
| Diagnostic Radiology of Anderson, P.a. | Diagnostic Radiology | Current | Accepting new patients |
| Grand Island Radiology Associates PC | Diagnostic Radiology | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Central Kentucky Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Diagnostic Radiology | Current | Accepting new patients |
| Regional West Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Georgia West Imaging, PC | Diagnostic Radiology | Past | Accepting new patients |
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
| Rrsoc LLC | Past | Accepting new patients | |
| Diagnostic Radiology PC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 96)
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
114 Woodland St
Fl 7
Hartford, CT 06105
Phone (680) 714-4303
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1538 13th Ave
Ste B200
Columbus, GA 31901
Phone (706) 320-2547
1538 13th Ave
Ste C200
Columbus, GA 31901
Phone (706) 320-2547
2300 Manchester Expy
Ste A001
Columbus, GA 31904
Phone (706) 257-7700
3081 Williams Rd
Unit A
Columbus, GA 31909
Phone (706) 320-2547
4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527
Interoperability endpoints
- dbodne2973323@carolinashealthcaresystem.direct-ci.com
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 66
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Statesboro, GA
- NPI 1003973207
-
- Diagnostic Radiology Physician
- Riverdale, GA
- NPI 1811949720
-
dba Allen Hospital
- Emergency Medicine Physician
- Waterloo, IA
- NPI 1346292521
Diagnostic Radiology, GA
-
- Specialist
- Beaumont, TX
- NPI 1558485532
-
dba Sheridan Memorial Clinics
- Internal Medicine Physician
- Sheridan, WY
- NPI 1861722688
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
-
dba Cape Fear Valley Professional Radiology Group
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
GA
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1922125269
GA
-
dba Heartland Radiology
- Diagnostic Radiology Physician
- Grand Island, NE
- NPI 1932136405
GA
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Express Care of Health Pavilion North
- Family Medicine Physician
- Fayetteville, NC
- NPI 1134162597
Hospital
-
dba Cape Fear Valley Pediatric Care
- Pediatrics Physician
- Fayetteville, NC
- NPI 1295738920
Hospital
-
dba Hope Mills Family Care
- Family Medicine Physician
- Fayetteville, NC
- NPI 1336131010
Hospital
-
dba Westside Medical Care
- Family Medicine Physician
- Fayetteville, NC
- NPI 1386649374
Hospital
-
dba Hoke Family Medical Center
- Rural Health Clinic/Center
- Raeford, NC
- NPI 1447255328
Hospital
-
dba Cape Fear Valley OB/GYN
- Obstetrics & Gynecology Physician
- Fayetteville, NC
- NPI 1497757785
Hospital
-
dba Valley Medical Associates
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1588668396
Hospital
-
dba Cape Fear Valley Medical Center
- General Acute Care Hospital
- Fayetteville, NC
- NPI 1639172869
-
dba Sleep Center of CFVHS
- Sleep Medicine (Psychiatry & Neurology) Physician
- Fayetteville, NC
- NPI 1639173222
Hospital
-
dba Stedman Medical Care
- Family Medicine Physician
- Stedman, NC
- NPI 1811999113
Hospital
-
dba Southeastern Regional Rehabilitation Center
- Rehabilitation Hospital Unit
- Fayetteville, NC
- NPI 1821091851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1316944697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N 102ND ST STE 201",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142122",
"telephone_number": "833-228-6889",
"fax_number": "877-853-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 MASK RD",
"city": "BROOKS",
"state": "GA",
"postal_code": "302052214",
"telephone_number": "833-228-6889",
"fax_number": "877-853-0376"
}
],
"practiceLocations": [
{
"address_1": "2305 37th Ave SW",
"address_purpose": "LOCATION",
"city": "Minot",
"state": "ND",
"postal_code": "587017669",
"country_code": "US",
"telephone_number": "701-418-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"fax_number": "815-599-7974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "745 Poplar Road",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "326051618",
"country_code": "US",
"telephone_number": "770-400-1000",
"fax_number": "256-237-3787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016887",
"country_code": "US",
"telephone_number": "573-406-5888",
"fax_number": "573-248-5264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BODNE",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "23913",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C195626",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.167992",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "036687",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2024026884",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WY",
"license": "16259C",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ND",
"license": "20363",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GU",
"license": "MC-185",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD AL",
"identifier": "51500979",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009948040",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000542264M",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01064288",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooks, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.