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BRENT MITCHELL BODILY MD
NPI 1265061055
Obstetrics & Gynecology in Fort Bliss, TX

Active since April 03, 2020PECOS Enrolled
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906(801) 834-7551 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2025, Nov 17, 2022, Apr 3, 2020 (3 updates tracked since 2020).

About Brent Mitchell Bodily Md NPPES

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

BRENT MITCHELL BODILY MD (NPI 1265061055) is an individual obstetrics & gynecology provider in Fort Bliss, Texas, licensed in Hawaii (MD-22451) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265061055
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameBRENT MITCHELL BODILYCredential: MD
Location Address18511 HIGHLANDER MEDICS STFort Bliss, TX 79906-5327
Mailing Address1 Jarrett White Road, Tripler Army Medical CenterTamc, HI 96859-5001
Phone(801) 834-7551
Sole ProprietorNo
Enumeration DateApril 3, 2020
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1265061055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in HI · MD-22451
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
18511 HIGHLANDER MEDICS ST, Fort Bliss, TX 79906
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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)

Brent Mitchell Bodily 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79906 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. ROCIO ERIKA SAMANIEGO
Social Worker (Clinical)
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-2800
DR. GEORGE CORTINAS PHARMD
Pharmacist
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (214) 535-5955
DR. JAMESON EVERETT HOFFMAN DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
18511 HIGHLANDER MEDICS ST
EL PASO, TX 79906
El Paso County (915) 742-9788
EUNICE SHIM
Student in an Organized Health Care Education/Training Program
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0576
DR. KATHRYN ANZOLA PT, DPT
Physical Therapist (Orthopedic)
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0238
TIMOTHY ERIC HOELL PA-C
Physician Assistant
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-4248
WILLIAM D MCCLELLAND MD
General Practice
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-0576
DR. MICHAEL PATRICK AVILLION MD
Otolaryngology
18511 HIGHLANDER MEDICS ST
FORT BLISS, TX 79906
El Paso County (915) 742-2273

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 Brent Bodily's NPI number?

The NPI number for Brent Bodily is 1265061055. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Brent Bodily located?

Brent Bodily practices at 18511 Highlander Medics St, Fort Bliss, TX 79906. The listed phone number is (801) 834-7551.

What is Brent Bodily's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Brent Bodily enrolled in Medicare?

Yes. Brent Bodily is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brent Bodily was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.