John Herman Bode, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0003616 Issued in MD

Practice address

1025 Medical Center Dr
Wilmington, NC 28401

Phone

(910) 762-3882

NPI assigned

Sep 28, 2007

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delaney Radiologists Group PLLCGroup PAC ID 4981684875, 55 clinicians

Delaney Radiologists PAGroup PAC ID 6305813684, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
• Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
• Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Merit-based Incentive Payment System (MIPS)

Final score

83.57 of 100Reported as group

Quality

80.67

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

81.72 of 100Reported as group

Quality

88.57

Improvement activities

40

Cost

60.01

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: jbode49527@direct.umm.edu
• Direct secure messaging: jbode748031@direct.novanthealth.org

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.

• Delaney Radiologists Group PLLC

  • Specialist
  • Wilmington, NC
  • NPI 1912982166
  Medicare reassignment Care Compare group
• Delaney Radiologists PA

  • Specialist
  • Wilmington, NC
  • NPI 1902881147
  Medicare reassignment Care Compare group

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

• Brunswick Community Hospital, LLC

  dba Novant Health Brunswick Medical Center

  • General Acute Care Hospital
  • Bolivia, NC
  • NPI 1710915756
  Care Compare affiliation
• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation
• Onslow Memorial Hospital Inc

  dba Onslow Memorial Hospital

  • General Acute Care Hospital
  • Jacksonville, NC
  • NPI 1679535496
  Care Compare affiliation

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1396932869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017354",
            "telephone_number": "910-762-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-762-3882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Franklin Square Dr",
            "address_2": "Radiology Department",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212373901",
            "country_code": "US",
            "telephone_number": "443-777-7150",
            "fax_number": "443-777-7419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODE",
        "first_name": "JOHN",
        "middle_name": "HERMAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Blue, MD
• Bluewater Surgical, PLLC
• Zachary Allen Blumenkehl
• Edward Boris Blyther, LCSW
• Nolan Bodah, D.D.S.
• Body Innovations Physical Therapy & Wellness LLC
• Bodytech Acupuncture
• Bodytherapy, Inc. (Change The Game Performance Therapy)
• Deborah Hankins Boedeker, FNP-BC
• Thomas Whiteford Boeker, MD

• Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.