ANDREW ALLEN BODLAK MD
NPI 1467219881
Student in an Organized Health Care Education/Training Program in Denver, CO
About Andrew Allen Bodlak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW ALLEN BODLAK MD (NPI 1467219881) is an individual student in an organized health care education/training program in Denver, Colorado and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Allen Bodlak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
DENVER, CO 80204
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 Andrew Bodlak's NPI number?
The NPI number for Andrew Bodlak is 1467219881. It was assigned to this individual provider in the NPPES registry on March 1, 2024.
Where is Andrew Bodlak located?
Andrew Bodlak practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 436-6000.
What is Andrew Bodlak's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Andrew Bodlak enrolled in Medicare?
Yes. Andrew Bodlak is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Andrew Bodlak was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Andrew Allen Bodlak, MD · NPI 1467219881
Student in an Organized Health Care Education/Training Program provider in Denver, Colorado. Individual provider, active in the CMS NPPES registry since March 1, 2024.
## Identity
- **NPI:** 1467219881 (Entity type: Individual)
- **Enumerated:** March 1, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 777 BANNOCK ST, Denver, CO 80204-4597
- **Phone:** (303) 436-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467219881) · Data from the CMS NPPES public registry.