Belin Fred Bodie, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

6998 Issued in AL

Practice address

4300 Old Shell Rd
Ste B
Mobile, AL 36608-2036

Phone

(251) 342-7880

Fax

(251) 342-8369

NPI assigned

May 23, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Dermatology

Education

University of Alabama School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01H0
• bcbs alabama network 01B0
• bcbs alabama network 01E0
• bcbs alabama network 01A0
• bcbs alabama network 01G0

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.

• University of South Alabama Health Care Authority

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508392432
  Medicare reassignment Care Compare group NPD
• University of South Alabama Health Care Authority

  • Dermatology Physician
  • Mobile, AL
  • NPI 1255994141
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1891798807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 OLD SHELL RD",
            "address_2": "STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082036",
            "telephone_number": "251-342-7880",
            "fax_number": "251-342-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 OLD SHELL RD",
            "address_2": "STE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082036",
            "telephone_number": "251-342-7880",
            "fax_number": "251-342-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODIE",
        "first_name": "BELIN",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "6998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00004869",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF AL",
            "identifier": "51004869",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Ama Boachie
• Jeffrey David Boatright
• Laura Boatright, MD
• Hanna Viktoria Bobinger, MD
• C Adrien Bodet III, MD
• Brandon Frederick Bodie
• Frankie Lavon Bodie, MD
• Jamie Hamblin Bodie, PA
• Body Mind & Spine
• Gerhard A.W. Boehm, M.D.

• Dermatology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.