Christopher H Bodily, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA06676 Issued in TX

Practice address

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846

Phone

(360) 791-7626

NPI assigned

Feb 24, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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.

• Acute Orthopedic Care Specialists PLLC

  • Orthopaedic Surgery Physician
  • Odessa, TX
  • NPI 1922254572
  NPD (past)
• Acute Surgical Care Specialists PLLC

  • Surgery Physician
  • Plano, TX
  • NPI 1184837403
  NPD (past)
• Midland Texas Orthopedic Group Inc

  • Orthopaedic Surgery Physician
  • Midland, TX
  • NPI 1346681061
  NPD (past)
• Premier Family Care I, Inc

  • General Practice Physician
  • Midland, TX
  • NPI 1275522864
  NPD (past)
• Wes Tex Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Andrews, TX
  • NPI 1942084322
  NPD (past)
• West Texas Orthopedics LLP

  • Orthopaedic Surgery Physician
  • Midland, TX
  • NPI 1831143353
  NPD (past)

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1891017448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 KING RICHARDS ROW",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797071577",
            "telephone_number": "360-791-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015846",
            "telephone_number": "360-791-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODILY",
        "first_name": "CHRISTOPHER",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA06676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Bloodworth
• Blossom Nutrition LLC
• Brielle Marie Bobbora, PA-S1
• Bobby G Ray OD PA
• Joshua James Bobo, PHARMD, RPH
• Kevin D Boggs, RPH
• Cyril Bolum
• Rami Reddy Bonam, M.D.
• Hailey Elizabeth Bonner, MPAS, PA-C
• Beau Joplin Boren, DDS

• All providers in Midland, TX
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.