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E. JAMES BODMER, D.P.M., PC
NPI 1245423219
Clinic/Center - Health Service in Gold Canyon, AZ

Active since August 23, 2007
9765 E DEAD SURE PL, GOLD CANYON, AZ 85218(480) 363-3066 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About E. James Bodmer, D.p.m., Pc NPPES

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

E. JAMES BODMER, D.P.M., PC (NPI 1245423219) is a healthcare organization registered as a health service in Gold Canyon, Arizona and active in the NPI registry since August 2007. The organization lists Edward James Bodmer, President, as its authorized official.

NPPES Registry Identity

NPI1245423219
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameE. JAMES BODMER, D.P.M., PC
Location Address9765 E DEAD SURE PLGold Canyon, AZ 85218-7176
Mailing Address9765 E Dead Sure PlGold Canyon, AZ 85218-7176 · (480) 363-3066
Phone(480) 363-3066
Organization SubpartNo
Authorized OfficialEdward James BodmerPresident · (480) 363-3066
Enumeration DateAugust 23, 2007
✔ NPI 1245423219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in AZ · 0152
9765 E DEAD SURE PL, Gold Canyon, AZ 85218
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINT41412AZ
Other0152AZ · Az License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDWARD JAMES BODMER DPM
Podiatrist
9765 E DEAD SURE PL
GOLD CANYON, AZ 85218
Pinal County (480) 363-3066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is E. James Bodmer, D.P.M., PC's NPI number?

The NPI number for E. James Bodmer, D.P.M., PC is 1245423219. It was assigned to this organization in the NPPES registry on August 23, 2007.

Where is E. James Bodmer, D.P.M., PC located?

E. James Bodmer, D.P.M., PC is located at 9765 E Dead Sure Pl, Gold Canyon, AZ 85218. The listed phone number is (480) 363-3066.

What is E. James Bodmer, D.P.M., PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for E. James Bodmer, D.P.M., PC was last updated on August 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.