Bradley A Bodner, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MB08845000 Issued in NJ

Practice address

65 State Route 34 Ste 4
Morganville, NJ 07751-4262

Phone

(732) 333-8155

NPI assigned

Mar 28, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Bodner Physician Services PA

  • Physical Medicine & Rehabilitation Physician
  • Morganville, NJ
  • NPI 1912416959
  Medicare reassignment NPD Authorized official
• Sports Medicine Associates of South Florida, P.a.

  • Orthopaedic Surgery Physician
  • Plantation, FL
  • NPI 1487624771

  Physical Medicine & Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1366614406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 STATE ROUTE 34 STE 4",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514262",
            "telephone_number": "732-333-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 STATE ROUTE 34 STE 4",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514262",
            "telephone_number": "732-333-8155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Tennent Rd",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077263161",
            "country_code": "US",
            "telephone_number": "732-610-6072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODNER",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-28",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS 8450",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MB08845000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boas Family Chiropractic, LLC
• James L Boas I, D.C.
• Kara Anne Boas, D.C.
• Kwame Boateng, PHARMD
• Bodner Physician Services PA
• Yajahira Bonet Beltran, LSW
• Brain-Body OT Sensory Gym LLC
• Brighter Dental Care (Marlboro)
• Brite Futures Counseling, LLC
• Kenneth Brown

• Physical Medicine & Rehabilitation Physician in Morganville, NJ
• Providers in Morganville, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.