JOHN BODINE PA
NPI 1457530230
Physician Assistant - Medical in Royal Oak, MI

Active since October 30, 2007
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-4021(248) 898-1473 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Bodine Pa NPPES

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

JOHN BODINE PA (NPI 1457530230) is an individual medical provider in Royal Oak, Michigan, licensed in Michigan (5601001693) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1457530230
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN BODINECredential: PA
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address3601 W 13 Mile RdRoyal Oak, MI 48073-6712 · (248) 898-4021 · Fax (248) 898-1473
Fax(248) 898-1473
Sole ProprietorNo
Enumeration DateOctober 30, 2007
NPI 1457530230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601001693
3601 W 13 MILE RD, Royal Oak, MI 48073

Other Identifiers 1

Medicare PIN0N33470MI

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.

Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073

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 John Bodine's NPI number?

The NPI number for John Bodine is 1457530230. It was assigned to this individual provider in the NPPES registry on October 30, 2007.

Where is John Bodine located?

John Bodine practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-4021.

What is John Bodine's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for John Bodine was last updated on October 30, 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.