BRYAN CLIFFORD BODROG LPCC
NPI 1265900120
Counselor - Professional in New Brighton, MN

Q: What is Bryan Bodrog's NPI number?

The NPI number for Bryan Bodrog is 1265900120. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Q: What is Bryan Bodrog's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Bodrog was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 08, 2018

550 COUNTY ROAD D W STE 10, NEW BRIGHTON, MN 55112(651) 644-4022 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Bryan Clifford Bodrog Lpcc NPPES

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

BRYAN CLIFFORD BODROG LPCC (NPI 1265900120) is an individual professional provider in New Brighton, Minnesota, licensed in Minnesota (CC01044) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1265900120

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameBRYAN CLIFFORD BODROGCredential: LPCC

Location Address550 COUNTY ROAD D W STE 10New Brighton, MN 55112-3517

Mailing Address550 County Road D W Ste 10New Brighton, MN 55112-3517 · (651) 644-4022

Phone(651) 644-4022

Sole ProprietorNo

Enumeration DateNovember 8, 2018

✔ NPI 1265900120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · CC01044

550 COUNTY ROAD D W STE 10, New Brighton, MN 55112

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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 Bryan Bodrog's NPI number?

The NPI number for Bryan Bodrog is 1265900120. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Where is Bryan Bodrog located?

Bryan Bodrog practices at 550 County Road D W Ste 10, New Brighton, MN 55112. The listed phone number is (651) 644-4022.

What is Bryan Bodrog's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Bryan Bodrog was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.