Active NPI
John E Bodell DO PC
- Surgery Physician
- Trenton, MI
National Provider Identifier
1457655136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- JOHN E BODELL DO PC
- Practice address
- 2871 West Rd
Trenton, MI 48183-2476 - Phone
- (734) 676-3575
- NPI assigned
- Jan 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Janet Marie Bodell, SFO,RN,MSH
- Title
- Nurse Administrator
- Phone
- (734) 676-3575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2871 West Rd
Trenton, MI 48183-2476
Mailing address
2871 West Rd
Trenton, MI 48183-2476
Phone (734) 676-3575
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294617600000",
"number": "1457655136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2871 WEST RD",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832476",
"telephone_number": "734-676-3575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2871 WEST RD",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832476",
"telephone_number": "734-676-3575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN E BODELL DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A",
"authorized_official_last_name": "BODELL",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "NURSE ADMINISTRATOR",
"authorized_official_telephone_number": "734-676-3575",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "SFO,RN,MSH"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.