Stephen L Bodemann M.D. LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STEPHEN L BODEMANN M.D. LTD

Doing business as

Stephen L Bodemann M.D.

Practice address

1636 Higdon Ferry Road
Hot Springs, AR 71913

Phone

(501) 651-2000

Fax

(501) 651-2391

NPI assigned

Apr 3, 2019

Organization subpart

Yes

Parent organization

STEPHEN L BODEMANN M.D. LTDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen L Bodemann, M.D.

Title

President

Phone

(501) 520-7731

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephen L Bodemann M.D. Doing business as

Part of

Stephen L Bodemann MD LTD

Locations

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1548722028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 FOREST HEIGHTS TR",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "501-262-1041",
            "fax_number": "501-651-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 HIGDON FERRY ROAD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-651-2000",
            "fax_number": "501-651-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L BODEMANN M.D. LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHEN L BODEMANN M.D. LTD",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "BODEMANN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-520-7731",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102441001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen L Bodemann M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Makenna Lauren Steele
• Marie C Steelman
• Angela Stein, LCSW
• Michael Joe Stell
• Stephanie J. Baldwin, D.D.S., P.a.
• Kimberly Stephens-Williams, OTR/L
• Bettie Jane Stephens, L.P.E.
• Kristie Stevens, LCSW
• Angela Stevenson-Carr, LPC
• Shannon Denise Stevenson

• Internal Medicine Physician in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.