Individual provider Active NPI

Brandy M. Bodiford, D.O.

  • Family Medicine Physician
  • Dothan, AL
National Provider Identifier
1942466073
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1422 Issued in AL
Practice address
1245 Westgate Pkwy
Dothan, AL 36303-2151
Phone
(334) 793-9595
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4676 OK
Family Medicine Physician 207Q00000X 1422 AL Primary

Addresses

Primary practice location

1245 Westgate Pkwy
Dothan, AL 36303-2151

Mailing address

1245 Westgate Pkwy
Dothan, AL 36303-2151
Phone (334) 793-9595

Other names 1

  • Brandy M. O'Neal Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141106000705 AL Practitioner - Family Practice 0446431654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4550 W Main St
Suite 1
Dothan, AL 36305-1130
Phone (334) 793-8087

Hospital & facility affiliations

  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1422ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Current Accepting new patients
Houston County Healthcare Authority Family Medicine CurrentSince Feb 26, 2017 Accepting new patients
Houston County Healthcare Authority Family Medicine Current Accepting new patients
Southeast Alabama Medical Center Employee Pharmacy Past Accepting new patients
Primecare of Dothan, PC Past Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159

1245 Westgate Pkwy
Dothan, AL 36303
Phone (334) 793-9595

4550 W Main St
#1
Dothan, AL 36305
Phone (334) 699-1600

39 Windyhill Rd
Taylor, AL 36301
Phone (334) 712-3363

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1942466073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WESTGATE PKWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032151",
            "telephone_number": "334-793-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WESTGATE PKWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032151",
            "telephone_number": "334-793-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODIFORD",
        "first_name": "BRANDY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4676",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "O'NEAL",
            "middle_name": "M.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.