NPIMap

Individual provider Active NPI

Stephen Anthony Bodney, MD

  • Surgery Physician
  • Corydon, IN
National Provider Identifier
1619965969
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01035411A Issued in IN
Practice address
1263 Hospital Dr NW Ste 270
Corydon, IN 47112-2178
Phone
(812) 738-4251
Fax
(812) 738-7833
NPI assigned
Oct 11, 2005
Last updated
Dec 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01035411A IN Primary

Addresses

Primary practice location

1263 Hospital Dr NW Ste 270
Corydon, IN 47112-2178

Mailing address

PO Box 38
Corydon, IN 47112-0038
Phone (812) 738-7830

Other identifiers 2

IdentifierTypeStateIssuer
200197780MedicaidIN
000000066301OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SBodney@hcin.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100415000983 IN Practitioner - General Surgery 8426185836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Indiana University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison County HospitalGroup PAC ID 9032007208, 45 clinicians

Practice addresses (Care Compare)

1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-7865

1263 Hospital Dr NW
Suite 270
Corydon, IN 47112-2178
Phone (812) 738-0177

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01035411AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison County Hospital CurrentSince Oct 1, 1998 Accepting new patients
Harrison County Hospital CurrentSince Oct 1, 1998 Accepting new patients
Harrison County Hospital Past Accepting new patients

Locations

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1263 Hospital Dr NW
Ste 270
Corydon, IN 47112
Phone (812) 738-0177

Interoperability endpoints

  • Direct secure messaging: sbodney@hcin.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harrison County HospitalCorydon, IN, CCN 151331 Hospital Other Feb 18, 2022
Harrison County HospitalCorydon, IN, CCN 15Z331 Hospital Other Feb 18, 2022
Orchard Pointe Health CampusKendallville, IN, CCN 155851 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF		 Jan 1, 2022
Jan 1, 2022
Harrison Springs Health CampusCorydon, IN, CCN 155852 Skilled nursing facility Trustee of the SNF Jan 1, 2022
The Springs of MooresvilleMooresville, IN, CCN 155842 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF		 Jan 1, 2022
Jan 1, 2022
River Terrace Health CampusMadison, IN, CCN 155849 Skilled nursing facility Corporate Director
Managing Control - Governing Body		 Jan 1, 2022
Jan 1, 2022
Thornton Terrace Health CampusHanover, IN, CCN 155734 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF		 Jan 1, 2022
Jan 1, 2022
St Andrews Health CampusBatesville, IN, CCN 155742 Skilled nursing facility Managing Control - Governing Body
Trustee of the SNF		 Jan 1, 2022
Jan 1, 2022
Ridgewood Health CampusLawrenceburg, IN, CCN 155789 Skilled nursing facility Trustee of the SNF Jan 1, 2022
HCH Elizabeth ClinicElizabeth, IN, CCN 158588 Rural health clinic Corporate Director Jan 1, 2022
New Salisbury Family Medical CenterNew Salisbury, IN, CCN 158595 Rural health clinic Corporate Director Jan 1, 2022
After Hours CareCorydon, IN, CCN 158598 Rural health clinic Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1619965969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471120038",
            "telephone_number": "812-738-7830",
            "fax_number": "812-738-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 HOSPITAL DR NW STE 270",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122178",
            "telephone_number": "812-738-4251",
            "fax_number": "812-738-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNEY",
        "first_name": "STEPHEN",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01035411A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200197780",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000066301",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SBodney@hcin.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1263 Hospital Dr NW Ste 270",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471122178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.