Maine Foot and Ankle Specialists, PLLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

MAINE FOOT AND ANKLE SPECIALISTS, PLLC

Doing business as

Maine Foot and Ankle Specialits, PLLC

Practice address

619 Brighton Ave
Portland, ME 04102-2373

Phone

(207) 521-6107

NPI assigned

Mar 31, 2025

Last updated

Aug 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jules B Bodo, DPMNPI 1235558818

Title

Ownner/Physician

Phone

(207) 521-6107

Specialties & licenses 1

Addresses

Other names 1

• Maine Foot and Ankle Specialits, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jules Bodo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Portland, ME
  • NPI 1235558818
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1679376065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022373",
            "telephone_number": "207-910-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022373",
            "telephone_number": "207-521-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE FOOT AND ANKLE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "BODO",
        "authorized_official_first_name": "JULES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNNER/PHYSICIAN",
        "authorized_official_telephone_number": "207-521-6107",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Foot and Ankle Specialits, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maine Foot and Ankle Specialits, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Portland, ME
• Providers in Portland, ME by specialty
• Foot & Ankle Surgery Podiatrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.