Christopher Bodle, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

M-15238 Issued in ID

Practice address

100 Hospital Dr
Ketchum, ID 83340

Phone

(208) 727-8100

Fax

(208) 727-8124

NPI assigned

Apr 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, PA, NC, ID, LA, FL, AZ7 enrollments

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 7

Specialty

Emergency Medicine

Education

Indiana University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

MD Ally Services PAGroup PAC ID 9133516743, 23 clinicians

Mylaurel Medical Group la, LLCGroup PAC ID 8123365467, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S Wood River Medical Center Hospital, Ketchum, ID, CCN 131323

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christopher.bodle.1@27810.direct.athenahealth.com
• Direct secure messaging: christopher.bodle.1@25238.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• Direct secure messaging: christopher.bodle.1@22307.direct.athenahealth.com

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.

• MD Ally Services PA

  • Emergency Medicine Physician
  • Miami Lakes, FL
  • NPI 1477218089

  Emergency Medicine, FL

  Medicare reassignment Care Compare group NPD
• MD Ally Services PA

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1932810215

  AZ, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Mylaurel Medical Group la, LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1306341060

  LA

  Medicare reassignment Care Compare group NPD
• Carepoint Health Emergency Medicine Idaho, PLLC

  • Emergency Medicine Physician
  • Caldwell, ID
  • NPI 1285275461

  Emergency Medicine, ID

  Medicare reassignment NPD
• St Lukes Clinic - Wood River LLC

  • Internal Medicine Physician
  • Ketchum, ID
  • NPI 1972891604

  Emergency Medicine, ID

  Medicare reassignment NPD
• St Lukes Clinic-Treasure Valley LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1326336058

  Emergency Medicine, ID

  Medicare reassignment NPD
• Emergency Medicine Services of in, LLC

  • Emergency Medicine Physician
  • Terre Haute, IN
  • NPI 1982301040

  Emergency Medicine, IN

  Medicare reassignment NPD
• Relymd Virtual Health Ca, PC

  • Emergency Medicine Physician
  • Petaluma, CA
  • NPI 1194515106

  Emergency Medicine, ID

  Medicare reassignment NPD
• Relymd Virtual Health Ga, LLC

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1386414720

  Emergency Medicine, ID

  Medicare reassignment NPD
• Relymd Virtual Health Regional, PC

  • Emergency Medicine Physician
  • Morrisville, NC
  • NPI 1134912124

  Emergency Medicine, ID

  Medicare reassignment NPD
• Relymd Virtual Health TX, PA

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1770374126

  Emergency Medicine, ID

  Medicare reassignment NPD
• The Carolinas Emergency Group, PLLC

  • Emergency Medicine Physician
  • Dunn, NC
  • NPI 1477508836

  Emergency Medicine, NC

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Lukes Wood River Medical Center LTD

  • Critical Access Hospital
  • Ketchum, ID
  • NPI 1508869470

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1720407232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "83340",
            "telephone_number": "208-727-8100",
            "fax_number": "208-727-8124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Parkway Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121212",
            "country_code": "US",
            "telephone_number": "404-265-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODLE",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-11",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "76945",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-15238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne-Liebersbach Bertovich, DC
• Hadi Bhurgri, MD
• Blaine County
• Margret J. Blair, L.AC.
• Herbert Aaron Blaser, DDS
• Melissa A Boley, LPCP
• Karen Bommentre, LMFT
• Boost Orthopedics and Sports Medicine Consulting
• Braden C. Comstock, DMD, PLLC
• Kenneth Brait, MD

• All providers in Ketchum, ID
• Emergency Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.