ROBERT DANIEL BODDEN-MENA MD
NPI 1023807641
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Q: What is Robert Bodden-mena's NPI number?

The NPI number for Robert Bodden-mena is 1023807641. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Q: What is Robert Bodden-mena's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since May 01, 2025PECOS Enrolled

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-3780(910) 615-9907 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Robert Daniel Bodden-mena Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT DANIEL BODDEN-MENA MD (NPI 1023807641) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023807641

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameROBERT DANIEL BODDEN-MENACredential: MD

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-3780 · Fax (910) 615-9907

Phone(910) 615-3780

Fax(910) 615-9907

Sole ProprietorYes

Enumeration DateMay 1, 2025

NPPES CertifiedMay 1, 2025

✔ NPI 1023807641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1638 OWEN DR, Fayetteville, NC 28304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Daniel Bodden-mena Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.