Individual provider Active NPI

Bruce E Bodner, M.D.

  • Surgery Physician
  • Taunton, MA
National Provider Identifier
1720034911
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
78475 Issued in MA
Practice address
72 Washington St., Suite 270
Morton Surgical PC
Taunton, MA 02780
Phone
(508) 823-1101
NPI assigned
May 26, 2006
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 78475 MA Primary

Addresses

Primary practice location

72 Washington St., Suite 270
Morton Surgical PC
Taunton, MA 02780

Mailing address

72 Washington St., Suite 270
Morton Surgical P C
Taunton, MA 02780
Phone (508) 823-1101

Other practice location 1

GSMC - Wound Care and Hyperbaric Medicine
909 Sumner St
Stoughton, MA 02072
Phone (508) 427-2480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616001062 MA Practitioner - General Surgery 3971547225 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers New Jersey Medical School, 1980
Medicare assignment
May accept Medicare assignment
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

72 Washington St
Suite 1700
Taunton, MA 02780-2488
Phone (508) 880-0077

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue89
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group of Massachusetts Inc Surgery CurrentSince Jan 1, 2025 Accepting new patients
BMC Affiliated Physicians, Inc. Surgery CurrentSince Apr 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 31, 2018 Accepting new patients
Nantucket Cottage Hospital CurrentSince Oct 23, 2014 Accepting new patients
Nantucket Cottage Hospital CurrentSince Oct 23, 2014 Accepting new patients
Steward Medical Group, Inc CurrentSince Dec 31, 2018 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

2100 Dorchester Ave
Dorchestr Ctr, MA 02124
Phone (617) 506-2222

2110 Dorchester Ave
Ste 311
Dorchestr Ctr, MA 02124
Phone (617) 296-0456

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

909 Sumner St
Stoughton, MA 02072
Phone (508) 584-5190

72 Washington St
Ste 1700
Taunton, MA 02780
Phone (508) 880-0077

72 Washington St
Ste 2700
Taunton, MA 02780
Phone (508) 824-4535

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000

Interoperability endpoints

  • Direct secure messaging: bbodner259745@direct.bmc.masshiway.net
  • Direct secure messaging: bruce.bodner.1@192.direct.athenahealth.com
  • Direct secure messaging: bruce.bodner.2@2017.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1720034911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST., SUITE 270",
            "address_2": "MORTON SURGICAL P C",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "02780",
            "telephone_number": "508-823-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 WASHINGTON ST., SUITE 270",
            "address_2": "MORTON SURGICAL PC",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "02780",
            "telephone_number": "508-823-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "GSMC - Wound Care and Hyperbaric Medicine",
            "address_2": "909 Sumner St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "MA",
            "postal_code": "02072",
            "country_code": "US",
            "telephone_number": "508-427-2480",
            "fax_number": "508-427-2489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODNER",
        "first_name": "BRUCE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "78475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.