Barry Bodanza, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH07093 Issued in FL

Practice address

205 W Bush Blvd
Tampa, FL 33612

Phone

(800) 679-7246

Fax

(912) 355-1848

NPI assigned

Mar 6, 2007

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 FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Chiro-Injury and Wellness, LLC

  • Chiropractor
  • Tampa, FL
  • NPI 1710297635
  NPD Authorized official
• Chiromed Chiropractic Center, Inc

  • Chiropractor
  • Tampa, FL
  • NPI 1073568572
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578693255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15639",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31416",
            "telephone_number": "800-679-7246",
            "fax_number": "912-355-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W BUSH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "800-679-7246",
            "fax_number": "912-355-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODANZA",
        "first_name": "BARRY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH07093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Boccumini
• Covena Charles Bocicot, APRN
• Philip Bockemeier
• Heather A Bockhold, APN
• Jessica Kay Bodager
• Jennifer Lynne Bodanza, L.M.T
• Christina Bode, DPT
• Garrett Slade Bode, D.C.
• Hannah Elizabeth Bodenhorn, LMHC
• Phoebe Leo Bodewig

• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.