Individual provider Active NPI

C Adrien Bodet III, MD

  • Infectious Disease Physician
  • Mobile, AL
National Provider Identifier
1356362289
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
09936 Issued in AL
Practice address
101 Memorial Hospital Dr Ste 200
Mobile, AL 36608-1787
Phone
(251) 414-5922
Fax
(251) 675-5036
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 09936 AL Primary
Internal Medicine Physician 207R00000X 09936 AL

Addresses

Primary practice location

101 Memorial Hospital Dr Ste 200
Mobile, AL 36608-1787

Mailing address

101 Memorial Hospital Dr Ste 200
Mobile, AL 36608-1787
Phone (251) 414-5900

Other identifiers 1

IdentifierTypeStateIssuer
529002070MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000581 AL Practitioner - Infectious DiseasePractitioner - Internal Medicine 3870569239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Center Internal Medicine Current Accepting new patients
Alabama Medical Group, PC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients

Locations

6701 Airport Blvd
Ste B127
Mobile, AL 36608
Phone (251) 414-5900

101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079

Interoperability endpoints

  • Direct secure messaging: cbodet@amgmd.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1356362289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MEMORIAL HOSPITAL DR STE 200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081787",
            "telephone_number": "251-414-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MEMORIAL HOSPITAL DR STE 200",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081787",
            "telephone_number": "251-414-5922",
            "fax_number": "251-675-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODET",
        "first_name": "C",
        "middle_name": "ADRIEN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "09936",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "09936",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529002070",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.