Individual provider Active NPI

Nathaniel Bode, DO

  • Family Medicine Physician
  • Greenfield, IN
National Provider Identifier
1982399309
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02009216A Issued in IN
Practice address
6189 W John L Modglin Dr Ste 101
Greenfield, IN 46140-9364
Phone
(317) 866-7300
NPI assigned
Apr 11, 2023
Last updated
Jul 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02009216A IN Primary

Addresses

Primary practice location

6189 W John L Modglin Dr Ste 101
Greenfield, IN 46140-9364

Mailing address

6189 W John L Modglin Dr Ste 101
Greenfield, IN 46140-9364
Phone (317) 866-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230519001363 IN Order and Referring Only - Family PracticePractitioner - Family Practice 1052777885

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Marian University College of Osteopathic Medicine, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Indianapolis, IN 46206

PO Box
Suite 685
Indianapolis, IN 46206-0685

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1982399309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6189 W JOHN L MODGLIN DR STE 101",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461409364",
            "telephone_number": "317-866-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6189 W JOHN L MODGLIN DR STE 101",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461409364",
            "telephone_number": "317-866-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODE",
        "first_name": "NATHANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02009216A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.