Michael Charles Bodemann, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N5631 Issued in AR

Practice address

1662 Higdon Ferry Rd
Suite 200
Hot Springs, AR 71913-6912

Phone

(501) 623-2781

Fax

(501) 623-1774

NPI assigned

Apr 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mbodemann124111@directb.mercy.net

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.

• Healthfirst Physicians of Arkansas PA

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1861425415
  NPD (past)
• Healthfirst Physicians of Arkansas, P. a.

  • Specialist
  • Hot Springs, AR
  • NPI 1548200330
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1528022167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-623-2781",
            "fax_number": "501-623-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 HIGDON FERRY RD",
            "address_2": "SUITE 200",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136912",
            "telephone_number": "501-623-2781",
            "fax_number": "501-623-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEMANN",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "N5631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102442001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laryssa Lauret Blunt, APRN
• Bob'S Food City # 1450
• Diane Kay Bodemann, MD
• Donald Raymond Bodemann, MD
• Kimberly R. Bodemann, APRN
• Stephen Louis Bodemann, MD
• Mandi E Bohlen, APRN
• Lauren Danielle Bolding
• Steffany Boldrey, LAC
• James Paul Bolin, ATC

• All providers in Hot Springs, AR
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.