David J Bodne, MD
Individual provider Active NPI Diagnostic Radiology Physician · Brooks, GA
NPI 1316944697 · NPPES record last updated May 21, 2026
Key facts
- NPI
- 1316944697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 036687 (GA)
- Practice address
- 535 Mask Rd
Brooks, GA 30205-2214 - Phone
- (833) 228-6889
- Fax
- (877) 853-0376
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 146
Hospital & facility affiliations 21
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of South Florida College of Medicine, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Cumberland County Hospital System Inc
Diagnostic Radiology of Anderson PA
Lincoln Radiology Group P C
Spartanburg Medical Center
Trinity Health of New England Provider Network Organization Inc
South Atlanta Radiology Associates, P.C.
Memorial Hospital of Sheridan County
Big Horn Health Network
East Georgia Radiology LLC
Serena D. Tidwell, M.D., P.C.
Central Kentucky Radiology PLLC
Trinity Health
Physicians of Cape Cod Hospital
Baptist Physician Network
Columbus Regional Healthcare System
Scotland Memorial Hospital, Inc
McFarland Clinic PC
Regional West Medical Center
Cheyenne Radiology Group
Great Plains Radiology LLC
Holyoke Medical Center Inc
Mahaska County Hospital
Allen Memorial Hospital Corporation
Southern Radiology Associates PLLC
Grand Island Radiology Associates PC
Hannibal Regional Healthcare System Inc
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
- Guam Regional Medical City
- Holyoke Medical Center
- Spartanburg Medical Center
- Cape Fear Valley Medical Center
- Cape Cod Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (13 enrollments) in GA, TN, TX, SC, CT, ND, WY, MA, NC, MO, CA, NE, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071207000651 | GA | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 25 organizations |
| I20240215004389 | TN | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 1 organization |
| I20240415001297 | TX | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 1 organization |
| I20240423001196 | SC | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 2 organizations |
| I20240506004315 | CT | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 1 organization |
| I20240507000789 | ND | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 1 organization |
| I20240730002877 | WY | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 2 organizations |
| I20240806004016 | MA | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 3 organizations |
| I20240924000723 | NC | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 3 organizations |
| I20250115001355 | MO | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 1 organization |
| I20251113002304 | CA | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 1 organization |
| I20251125000429 | NE | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 1 organization |
| I20260601001940 | IL | Practitioner - Diagnostic Radiology | 6204936206 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23913 | AL | MD | Specialist |
| C195626 | CA | MD | Diagnostic Radiology Physician |
| 036687 | GA | MD | Diagnostic Radiology Physician |
| 036.167992 | IL | MD | Diagnostic Radiology Physician |
Practice roles (60 of 63)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McFarland Clinic PC | Current |
Accepting new patients | |
| Gnosis for Her LLC | Current |
Accepting new patients | |
| Guam Memorial Hospital | Current |
Accepting new patients | |
| Trinity Health | Current |
Accepting new patients | |
| Western Mass Physician Associates Inc | Current |
Accepting new patients | |
| Spartanburg Medical Center | Diagnostic Radiology | Current |
Accepting new patients |
| The West Clinic P.C. | Specialist | Current |
Accepting new patients |
| Guam Healthcare Development Incorporated | Current |
Accepting new patients | |
| Spartanburg Medical Center | Current |
Accepting new patients | |
| Breast Imaging of Georgia PA | Diagnostic Radiology | Current |
Accepting new patients |
| Scotland Memorial Hospital Inc | Current |
Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Grand Island Radiology Associates PC | Diagnostic Radiology | Current |
Accepting new patients |
| Hannibal Regional Healthcare System Inc | Current |
Accepting new patients | |
| Camelot Radiology Associates LTD | Diagnostic Radiology | Current |
Accepting new patients |
| Lincoln Radiology Group PC | Diagnostic Radiology | Current |
Accepting new patients |
| Big Horn Health Network | Current |
Accepting new patients | |
| Baptist Physician Network | Specialist | Current |
Accepting new patients |
| Radiant Imaging, Inc. | Diagnostic Radiology | Current |
Accepting new patients |
| Diagnostic Radiology of Anderson, P.a. | Diagnostic Radiology | Current |
Accepting new patients |
| South Atlanta Radiology Associates, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Guam Memorial Hospital | Current |
Accepting new patients | |
| Guam X-Ray | Diagnostic Radiology | Current |
Accepting new patients |
| Mahaska County Hospital | Family Medicine | Current |
Accepting new patients |
| South Atlanta Radiology Associates- Griffin | Diagnostic Radiology | Current |
Accepting new patients |
| The West Clinic P.C. | Current |
Accepting new patients | |
| Southern Radiology Associates, PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Memorial Hospital of Sheridan County | Family Medicine | Current |
Accepting new patients |
| Regional West Medical Center | Diagnostic Radiology | Current |
Accepting new patients |
| Western Mass Physician Associates Inc | Family Medicine | Current | Accepting new patients |
| Radiology & Medical Imagery of Newnan, PC | Diagnostic Radiology | Current |
Accepting new patients |
| Great Plains Radiology LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Central Kentucky Radiology PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Scotland Memorial Hospital Inc | Diagnostic Radiology | Current |
Accepting new patients |
| East Georgia Radiology LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Holyoke Medical Center, Inc. | Current |
Accepting new patients | |
| Physicians of Cape Cod Hospital | Diagnostic Radiology | Current |
Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current |
Accepting new patients | |
| Columbus Regional Healthcare System | Current |
Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Current |
Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Cheyenne Radiology Group | Current |
Accepting new patients | |
| Serena D. Tidwell, M.D., P.C. | Current |
Accepting new patients | |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Current |
Accepting new patients |
| Spartanburg Medical Center | Specialist | Current | Accepting new patients |
| Columbus Regional Healthcare System | Current |
Accepting new patients | |
| Cumberland County Hospital System Inc | Diagnostic Radiology | Current |
Accepting new patients |
| Spartanburg Medical Center | Diagnostic Radiology | Current |
Accepting new patients |
| Trinity Health | Current |
Accepting new patients | |
| Allen Memorial Hospital Corporation | Diagnostic Radiology | Current |
Accepting new patients |
| Valley Radiology P a | Diagnostic Radiology | Current |
Accepting new patients |
| Infinite Consulting Empire, LLC | Current |
Accepting new patients | |
| Memorial Hospital of Sheridan County | Current |
Accepting new patients | |
| Western Mass Physician Associates Inc | Current |
Accepting new patients | |
| Rrsoc LLC | Past |
Accepting new patients | |
| Anniston Radiology Group, P.C. | Specialist | Past | Accepting new patients |
| Broussard Family Practice, PLLC | Specialist | Past | Accepting new patients |
| Floyd County Memorial Hospital Commission | Family Medicine | 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
3081 Williams Rd
Unit A
Columbus, GA 31909
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
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C195626 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 036.167992 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 036687 | GA | Yes |
| Diagnostic Radiology Physician | 2085R0202X | 2024026884 | MO | |
| Specialist | 174400000X | 23913 | AL | |
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000542264M | Medicaid | GA | |
| 009948040 | Medicaid | AL | |
| 51500979 | Other | AL | BLUE CROSS BLUE SHIELD AL |
| P01064288 | Other | GA | RAILROAD MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Brooks, GA
All providers in Brooks, GA · Diagnostic Radiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.