Keith Charles Bodley – Case Management Agency

Key facts

NPI: 1457564544
Entity type: Individual (NPI type 1)
Primary specialty: Case Management Agency 251B00000X
Practice address: 12501 Silver Fox LN
Apartment Number 1
Anchorage, AK 99515-3527
Phone: (907) 868-8661
NPI assigned: May 7, 2007
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

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.

Keith C Bodley Case Management Agency · Anchorage, AK · NPI 1558561837

NPD (past) CASE MANAGEMENT

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Keith C Bodley	Case Management	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Management Agency	251B00000X		AK	Yes

Addresses

Primary practice location

12501 Silver Fox LN
Apartment Number 1
Anchorage, AK 99515-3527

Mailing address

PO Box 233322
Anchorage, AK 99523-3322
Phone (907) 868-8661

Other identifiers

Identifier	Type	State	Issuer
CM31561	Other	AK	INDIVIDUAL IDENTIFICATION
CMG616	Other	AK	AGENCY NUMBER
730834	Other	AK	STATE LICENSE

Other providers in Anchorage, AK

All providers in Anchorage, AK · Case Management Agency in Alaska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.