John E Bodell (NPI# 1316939382, PAC ID# 8527243385) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1316939382 |
| PAC ID by PECOS | 8527243385 |
| Professional Enrollment ID | I20110421000574 |
| Full Name | John E Bodell |
| Organization Legal Name | JOHN E BODELL DO PC |
| Address |
2871 W Rd Trenton MI 48133-2476 |
| Phone Number | 7346763575 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4082898036 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230176 | BEAUMONT HOSPITAL - TRENTON |
| 230146 | HENRY FORD WYANDOTTE HOSPITAL |
| 230020 | BEAUMONT HOSPITAL - DEARBORN |
| Address | Phone | Organization |
|---|---|---|
| 2871 W Rd, Trenton, MI 48133-2476 | 7346763575 | JOHN E BODELL DO PC |
| Organization Legal Name | JOHN E BODELL DO PC |
| Physicians | 1 |
| Street Address |
2871 W RD |
| City | TRENTON |
| State | MI |
| Zip | 48133-2476 |
| City | TRENTON |
| Zip Code | 48133 |
| Specialty | GENERAL SURGERY |
| City + Specialty | TRENTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on John E Bodell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.