Brenda Bodai

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

6238 Ardennes Street
Fort Bragg, NC 28307

Phone

(910) 907-9060

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1366156309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 COACHMANS WAY",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6238 ARDENNES STREET",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "28307",
            "telephone_number": "910-907-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODAI",
        "first_name": "BRENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Wayne Blevins, PA-C
• John Blickle, MD
• Andrea Bloom, PHYSICIAN ASSISTANT
• Robert Scott Blough, PA-C
• Shantryce Monique Boatwright Crump, RDH
• Victoria Bogan, LCSW
• Daniel Earl Boland, DMD
• James Michael Bolton, SOCIAL WORKER
• Tricia Hart Booker, MSW LCSW
• Rachel Elizabeth Boone

• Dental Hygienist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Dental Hygienist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.