JEFFREY BODNER MD
NPI 1770043267
Radiology - Pediatric Radiology in Phoenix, AZ

Q: What is Jeffrey Bodner's NPI number?

The NPI number for Jeffrey Bodner is 1770043267. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Jeffrey Bodner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Bodner was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment

1919 E THOMAS RD, PHOENIX, AZ 85016(602) 933-1000 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, May 30, 2025, Mar 21, 2019 (3 updates tracked since 2019).

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About Jeffrey Bodner Md NPPES

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

JEFFREY BODNER MD (NPI 1770043267) is an individual pediatric radiology provider in Phoenix, Arizona, licensed in Arizona (76000) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2019).

NPPES Registry Identity

NPI1770043267

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NameJEFFREY BODNERCredential: MD

Location Address1919 E THOMAS RDPhoenix, AZ 85016-7710

Mailing Address12 Brittany Way NeAtlanta, GA 30324-2962 · (803) 640-3591

Phone(602) 933-1000

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2019

Enumeration DateMarch 21, 2019

Last NPPES UpdateJune 11, 20253 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1770043267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in AZ · 76000

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

1919 E THOMAS RD, Phoenix, AZ 85016

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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 and accepts Medicare assignment

Jeffrey Bodner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608101316

PECOS Enrollment IDI20250708000507

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.

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.

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