Individual provider Active NPI

David J Bodne, MD

  • Diagnostic Radiology Physician
  • Brooks, GA
National Provider Identifier
1316944697
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036687 Issued in GA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51500979OtherALBLUE CROSS BLUE SHIELD AL
009948040MedicaidAL
000542264MMedicaidGA
P01064288OtherGARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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, IL13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
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

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
Diagnostic Radiology of Anderson PAGroup PAC ID 3173559945, 43 clinicians
Lincoln Radiology Group P CGroup PAC ID 7113902586, 47 clinicians
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians
Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians
East Georgia Radiology LLCGroup PAC ID 7315040698, 44 clinicians
Serena D. Tidwell, M.D., P.C.Group PAC ID 9931291226, 16 clinicians
Central Kentucky Radiology PLLCGroup PAC ID 8921906983, 54 clinicians
Trinity HealthGroup PAC ID 7911816020, 292 clinicians
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians
Regional West Medical CenterGroup PAC ID 1759285885, 66 clinicians
Cheyenne Radiology GroupGroup PAC ID 1951293844, 34 clinicians
Great Plains Radiology LLCGroup PAC ID 2062310899, 39 clinicians
Holyoke Medical Center IncGroup PAC ID 2163419383, 202 clinicians
Mahaska County HospitalGroup PAC ID 2769388677, 128 clinicians
Southern Radiology Associates PLLCGroup PAC ID 7214913649, 41 clinicians
Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians

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

LicenseStateTypeSpecialty
23913ALMDSpecialist
91481SCMDPulmonary Disease Physician
C195626CAMDDiagnostic Radiology Physician
036687GAMDDiagnostic Radiology Physician
MC-185GUMDDiagnostic Radiology Physician
036.167992ILMDDiagnostic Radiology Physician
2024026884MOMDDiagnostic Radiology Physician
20363NDMDDiagnostic Radiology Physician

Practice roles (60 of 63)

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 24, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Jan 8, 2025 Accepting new patients
East Georgia Radiology LLC Diagnostic Radiology CurrentSince Feb 4, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Cheyenne Radiology Group CurrentSince Feb 1, 2025 Accepting new patients
Spartanburg Medical Center Specialist Current Accepting new patients
Trinity Health CurrentSince Mar 23, 2024 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Sep 3, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 24, 2024 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Mar 2, 2024 Accepting new patients
Memorial Hospital of Sheridan County Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Oct 11, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jul 5, 2025 Accepting new patients
Lincoln Radiology Group P C Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Mar 19, 2024 Accepting new patients
Allen Memorial Hospital Corporation Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Oct 11, 2024 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 20, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jul 5, 2025 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Feb 7, 2024 Accepting new patients
Mahaska County Hospital Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Great Plains Radiology LLC Diagnostic Radiology CurrentSince Oct 28, 2024 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Radiology & Medical Imagery of Newnan, PC Diagnostic Radiology CurrentSince Jun 1, 2012 Accepting new patients
The West Clinic P.C. Specialist CurrentSince Jan 2, 2024 Accepting new patients
Southern Radiology Associates, PLLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Breast Imaging of Georgia PA Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
South Atlanta Radiology Associates- Griffin Diagnostic Radiology CurrentSince Jul 26, 2023 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Feb 1, 2025 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Aug 1, 2024 Accepting new patients
The West Clinic P.C. CurrentSince Jan 2, 2024 Accepting new patients
Gnosis for Her LLC CurrentSince Sep 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Spartanburg Medical Center Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Baptist Physician Network Specialist CurrentSince Apr 1, 2024 Accepting new patients
Trinity Health CurrentSince Mar 23, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Jan 16, 2024 Accepting new patients
McFarland Clinic PC CurrentSince Dec 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 1, 2025 Accepting new patients
Physicians of Cape Cod Hospital Diagnostic Radiology CurrentSince Jul 15, 2024 Accepting new patients
Serena D. Tidwell, M.D., P.C. CurrentSince Jan 4, 2021 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Oct 1, 2024 Accepting new patients
Infinite Consulting Empire, LLC CurrentSince May 1, 2024 Accepting new patients
South Atlanta Radiology Associates, P.C. Diagnostic Radiology Current Accepting new patients
Camelot Radiology Associates LTD Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
Big Horn Health Network CurrentSince Mar 1, 2025 Accepting new patients
Western Mass Physician Associates Inc Family Medicine Current Accepting new patients
Diagnostic Radiology of Anderson, P.a. Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology CurrentSince Oct 28, 2024 Accepting new patients
Spartanburg Medical Center CurrentSince Feb 1, 2024 Accepting new patients
Central Kentucky Radiology PLLC Diagnostic Radiology CurrentSince Apr 17, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Oct 20, 2024 Accepting new patients
Cumberland County Hospital System Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Regional West Medical Center Diagnostic Radiology CurrentSince Aug 1, 2025 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 PastSince Jan 4, 2021 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology PastSince Feb 23, 2025 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

  • Direct secure messaging: dbodne2973323@carolinashealthcaresystem.direct-ci.com
  • FHIR API: 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.

View all 66

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

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

Verify at the official NPI Registry.