NPIMap

Individual provider Active NPI

Donald Raymond Bodemann, MD

  • Internal Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1568425510
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N8250 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 10, 2006
Last updated
Jun 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N8250 AR Primary

Addresses

Primary practice location

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

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 623-2781

Other identifiers 1

IdentifierTypeStateIssuer
122128001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060508000763 AR Practitioner - Internal Medicine 1456261049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1662 Higdon Ferry Rd
Suite 200
Hot Springs National Park, AR 71913-6981
Phone (501) 623-2781

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
N8250ARMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St. Vincent Medical Group Hot Springs Internal Medicine CurrentSince Aug 1, 2010 Accepting new patients
Healthfirst Physicians of Arkansas, P. a. PastSince Jan 1, 2005 Accepting new patients
Ouachita Regional Diagnostic and Surgery Center, Inc. PastSince Dec 5, 1999 Accepting new patients
Healthfirst Physicians of Arkansas PA Past Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

100 McGowan Ct
Hot Springs National Park, AR 71913
Phone (501) 525-9675

1636 Higdon Ferry Rd
Hot Springs National Park, AR 71913
Phone (501) 520-2000

1662 Higdon Ferry Rd
Ste 100
Hot Springs National Park, AR 71913
Phone (501) 318-6199

1662 Higdon Ferry Rd
Ste 200
Hot Springs National Park, AR 71913
Phone (501) 623-2781

1662 Higdon Ferry Rd
Ste 230
Hot Springs National Park, AR 71913
Phone (501) 623-9581

4419 N Highway 7
Ste 200
Hot Springs Village, AR 71909
Phone (501) 922-2217

4419 N Highway 7
Ste 201
Hot Springs Village, AR 71909
Phone (501) 922-2217

Interoperability endpoints

  • Direct secure messaging: dbodemann125007@directb.mercy.net

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1568425510",
    "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": "DONALD",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "N8250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122128001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.