Katherine Bodenberg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

S03724 Issued in MD

Practice address

715 Hollow Rd
Ellicott City, MD 21043-4717

Phone

(717) 870-7016

NPI assigned

Feb 20, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pow-Her Chiropractic LLC

  • Sports Physician Chiropractor
  • Rockville, MD
  • NPI 1598234528
  NPD (past)

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1871833392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HOLLOW RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434717",
            "telephone_number": "717-870-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HOLLOW RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434717",
            "telephone_number": "717-870-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENBERG",
        "first_name": "KATHERINE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MD",
            "license": "S03724",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Blum, OT
• Lois Lydia Bly, MA, PT
• BNB Caring Hearts LLC
• Eunice Borlagdan Bobis, PT
• Monica Laney Boddie, LCSW-C
• Thomas Boettger, PT
• Soheyla Bolouri, LCSW-C
• Robert Wayne Boman, D.D.S.
• Heather Bond-Pushman, LCSW-C
• Maryanne Bongiovani

• Chiropractor in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.