Bruce Ira Bodner, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101021043 Issued in VA

Practice address

241 Corporate Blvd
Norfolk, VA 23502-4954

Phone

(757) 622-2200

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia Eye Consultants Inc

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1992727820
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356340830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 GRESHAM DR",
            "address_2": "SUITE 403",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071901",
            "telephone_number": "757-622-2200",
            "fax_number": "757-622-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CORPORATE BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024954",
            "telephone_number": "757-622-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNER",
        "first_name": "BRUCE",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101021043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN/BCBS",
            "identifier": "332516",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6384021",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Boarts, DPT, CERT MDT
• Silvina M. Bocca, MD
• David Scott Bockelman, IDC
• Daniel Boczar Lins Santana, MD
• Bodhi Wellness, LLC
• Lee Irvin Boehm, PT
• Kelly Boettcher
• Valencia Vasquez Bogan, BCAT
• Gary Walker Boggus, M.D.
• Susan F Boice, NP

• Ophthalmology Physician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.