Active NPI
James Robert Bodkin, B.S.,D.C.
- Chiropractor
- Chattanooga, TN
National Provider Identifier
1720310386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2412
- Practice address
- 6102 Shallowford Rd
Suite 103
Chattanooga, TN 37421-1684 - Phone
- (423) 475-6438
- NPI assigned
- Feb 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2412 | TN | Primary |
Addresses
Primary practice location
6102 Shallowford Rd
Suite 103
Chattanooga, TN 37421-1684
Mailing address
6102 Shallowford Rd
Suite 103
Chattanooga, TN 37421-1684
Phone (423) 475-6438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
715 S Thornton Ave
Dalton, GA 30720-8213
Phone (706) 609-0023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2412 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pray Chiropractic P.C. | Chiropractor | Current | Accepting new patients |
| Simply Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Pray Chiropractic PC | Chiropractor | Past | Accepting new patients |
Locations
715 S Thornton Ave
Dalton, GA 30720
Phone (706) 609-0023
5721 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 835-7729
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 and National Provider Directory roles.
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- Chiropractor
- Ringgold, GA
- NPI 1447597539
-
- Chiropractor
- Hixson, TN
- NPI 1851611628
-
- Chiropractor
- Ringgold, GA
- NPI 1699277616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1720310386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6102 SHALLOWFORD RD",
"address_2": "SUITE 103",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211684",
"telephone_number": "423-475-6438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6102 SHALLOWFORD RD",
"address_2": "SUITE 103",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211684",
"telephone_number": "423-475-6438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODKIN",
"first_name": "JAMES",
"middle_name": "ROBERT",
"credential": "B.S.,D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-08",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.