Blake Michael Bodendorfer M.D.

  • NPI 1083000905
According to our database, the NPI number for Blake Michael Bodendorfer M.D. is 1083000905 and activated since 9 years ago. Blake Michael Bodendorfer M.D. is an individual provider who specializes in Sports Medicine, and the primary practice location is 1 Edmundson Pl Ste 500, Council Bluffs, IA 51503. You can also contact Blake Michael Bodendorfer M.D. via telephone number is (712) 323-5333. Provider NPI information was last updated on 08/02/2021.

Recently Active NPIs

Overview of Blake Michael Bodendorfer M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/07/2015
  • Last updated: 08/02/2021

Primary Scrop of Practice

  • Taxonomy Code: 207XX0005X
  • Specialty: Sports Medicine
  • License Number: 036152051
  • License State: IL

Provider Mailing Address

  • Address: 1611 W Harrison St Ste 400
    Chicago, IL 60612
  • Phone: 312-432-2351
  • Fax: 708-409-5179

Provider Practice Location

  • Address: 1 Edmundson Pl Ste 500
    Council Bluffs, IA 51503
  • Phone: 712-323-5333
  • Fax:

Scope of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Blake Michael Bodendorfer M.D.?
  • A: The npi number for Blake Michael Bodendorfer M.D. is 1083000905.
  • Q: What are Blake Michael Bodendorfer M.D.'s specialties?
  • A: Blake Michael Bodendorfer M.D.'s specialties are Sports Medicine and different specialities.
  • Q: What is the medical license for Blake Michael Bodendorfer M.D.?
  • A: The medical license number for Blake Michael Bodendorfer M.D. is 036152051 and issued in IL in USA.
  • Q: Where is Blake Michael Bodendorfer M.D. practice location?
  • A: Blake Michael Bodendorfer M.D. is practicing at 1 Edmundson Pl Ste 500, Council Bluffs, IA 51503.
  • Q: How to contact Blake Michael Bodendorfer M.D.?
  • A: You can contact Blake Michael Bodendorfer M.D. via 712-323-5333.