Individual provider Active NPI

Stephan John Bodnar

  • Certified Registered Nurse Anesthetist
  • Richmond, VA
National Provider Identifier
1366051005
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024180046 Issued in VA
Practice address
7101 Jahnke Rd
Richmond, VA 23225-4017
Phone
(804) 483-0000
NPI assigned
Jul 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024180046 VA Primary
Registered Nurse 163W00000X 296000 NC

Addresses

Primary practice location

7101 Jahnke Rd
Richmond, VA 23225-4017

Mailing address

2114 Winnwood Rd
Henrico, VA 23228-6046
Phone (313) 580-1040

Other practice location 1

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-7614

Other practice location 2

101 Hospital Center Blvd
Stafford, VA 22554-6200
Phone (540) 741-7614

Other practice location 3

1201 Sam Perry Blvd Ste 101
Fredericksburg, VA 22401-4490
Phone (540) 741-7614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112002327 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163832569 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians
Dogwood Anesthesia Providers LLCGroup PAC ID 2769853084, 141 clinicians

Practice addresses (Care Compare)

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3000

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 483-0817

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
296000NCMDRegistered Nurse
0024180046VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Specialists LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 3, 2026 Accepting new patients
Dogwood Anesthesia Providers, LLC CurrentSince Dec 1, 2022 Accepting new patients
Mary Washington Healthcare Specialty Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2026 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Jan 13, 2026 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1201 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-4614

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

201 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 289-1131

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

6602 W Broad St
#B
Richmond, VA 23230
Phone (804) 289-1137

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

110 N Robinson St
Ste 100
Richmond, VA 23220
Phone (804) 254-5300

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1366051005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 WINNWOOD RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232286046",
            "telephone_number": "313-580-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 JAHNKE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "804-483-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Sam Perry Blvd",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014453",
            "country_code": "US",
            "telephone_number": "540-741-7614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Hospital Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225546200",
            "country_code": "US",
            "telephone_number": "540-741-7614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Sam Perry Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224014490",
            "country_code": "US",
            "telephone_number": "540-741-7614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "STEPHAN",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024180046",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "296000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.