Jonathan Maxwell Bodner, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

D0097267 Issued in MD

Practice address

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324

Phone

(443) 643-2000

NPI assigned

Mar 28, 2020

Last updated

Oct 13, 2023By the provider in NPPES

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 MD, DE2 enrollments

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 2

Specialty

Emergency Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christiana Care Emergency Physicians LLCGroup PAC ID 8022468057, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Care Health System Dialysis facility, Newark, DE, CCN 082300
• Christiana Hospital Hospital, Newark, DE, CCN 080001
• Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbodner1028241@direct.umm.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christiana Care Emergency Physicians LLC

  dba Christiana Care Emergency Physicians MD

  • Emergency Medicine Physician
  • Elkton, MD
  • NPI 1871375899
  Medicare reassignment Care Compare group NPD
• Upper Chesapeake Emergency Medicine Physicians, LLC

  • Emergency Medicine Physician
  • Bel Air, MD
  • NPI 1285854026
  Medicare reassignment NPD
• Christiana Care Emergency Physicians LLC

  dba Christiana Care Emergency Physicians

  • Emergency Medicine Physician
  • Newark, DE
  • NPI 1639956451
  Medicare reassignment NPD

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

• Union Hospital of Cecil County

  • General Acute Care Hospital
  • Elkton, MD
  • NPI 1376523357
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1497383202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNER",
        "first_name": "JONATHAN",
        "middle_name": "MAXWELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0097267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay C Bluestine
• Daniel K Blumenthal, MS, LGPC
• Clara Bobo
• Amy Joann Boccia, MAC
• Preston Robert Bodison II, PH.D.
• Tyler V Bohanan, COTA
• Olayiwola Akeem Bolaji, MD
• Amanda Jane Bolen, MA, LGPC
• Zechariah G Bolick, LPCMH
• Matthew Carroll Bollinger

• Emergency Medicine Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Emergency Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.