Geoffrey R Bodeau, M.D.

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

29842 Issued in MN

Practice address

6608 Kenney PL
Edina, MN 55439-1427

Phone

(952) 947-9445

NPI assigned

May 16, 2006

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Allina Health System

  dba Allina Health Buffalo Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Buffalo, MN
  • NPI 1295272342
  Medicare reassignment NPD
• Allina Health System

  dba Allina Health Annandale Clinic

  • Family Medicine Physician
  • Annandale, MN
  • NPI 1457657249
  Medicare reassignment NPD
• Mankato Clinic LTD

  • Family Medicine Physician
  • Mankato, MN
  • NPI 1629044029
  Medicare reassignment NPD
• St. Francis Regional Medical Center

  dba St. Francis Urgent Care - Southbridge

  • Urgent Care Clinic/Center
  • Shakopee, MN
  • NPI 1447605514
  Medicare reassignment NPD
• Allina Health System

  dba Courage Kenny Rehab Associates

  • Physical Medicine & Rehabilitation Physician
  • Minneapolis, MN
  • NPI 1275577215
  NPD
• Allina Health System

  dba Allina Health Urgent Care Savage

  • Urgent Care Clinic/Center
  • Savage, MN
  • NPI 1376127332
  NPD
• Allina Health System

  dba Allina Health TeleRheumatology

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD
• St Francis Regional Medical Center

  dba St Francis Professional Fees

  • Low-Risk Neonatal Registered Nurse
  • Shakopee, MN
  • NPI 1316101900
  NPD
• Consulting Radiologists, LTD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1659339216

  Nuclear Radiology

  NPD (past)
• Twin Cities Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • Minneapolis, MN
  • NPI 1932539632

  Nuclear Radiology

  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1770534372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 KENNEY PL",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391427",
            "telephone_number": "952-947-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 KENNEY PL",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554391427",
            "telephone_number": "952-947-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEAU",
        "first_name": "GEOFFREY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MN",
            "license": "29842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Blyakher
• Sarah Rose Board, O.D
• Eric J Bobel, MD
• Janelle Marie Bober, RDN
• Siva R Bodagala, M.D.
• Robert Luther Bodin
• Thomas Patrick Bodine, MD
• Elizabeth Bodnia, DO
• Body and Soul Therapy
• Body Systems, Inc.

• Nuclear Radiology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Nuclear Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.