Alexia Louise Bodamer, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

263356 Issued in KY

Practice address

142 Chenoweth Lane
Lousiville, KY 40207

Phone

(502) 897-1616

NPI assigned

Mar 28, 2020

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parkwood Podiatry Associates, LLCGroup PAC ID 9335168319, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025

Merit-based Incentive Payment System (MIPS)

Final score

84.14 of 100Reported as group

Quality

68.29

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Parkwood Podiatry Associates, LLC

  • Podiatrist
  • Brunswick, GA
  • NPI 1912029687

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Foot Doctors PSC

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1245390319
  NPD
• Parkwood Podiatry Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hinesville, GA
  • NPI 1093985889
  NPD (past)

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

• Southeast Georgia Health System, Inc.

  dba Southeast Georgia Health System - Brunswick Campus

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720
  Care Compare affiliation

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1780212688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST STE 301",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204268",
            "telephone_number": "912-265-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 CHENOWETH LANE",
            "city": "LOUSIVILLE",
            "state": "KY",
            "postal_code": "40207",
            "telephone_number": "502-897-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODAMER",
        "first_name": "ALEXIA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "263356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Aldridge
• Assocaites in Pediatric Therapy LLC
• Andrea Lynn Goddard, DPT
• Leon H Kircik, MD
• Tracy Mullins, PTA
• Jessica Renee Paniccia, LCSW
• Shannon Anson

• Foot & Ankle Surgery Podiatrist in Lousiville, KY
• Providers in Lousiville, KY by specialty
• Foot & Ankle Surgery Podiatrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.
• 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.