GEOFFREY R BODEAU M.D.
NPI 1770534372
Radiology - Nuclear Radiology in Edina, MN

Active since May 16, 2006PECOS Enrolled
6608 KENNEY PL, EDINA, MN 55439(952) 947-9445 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Jul 13, 2022, Jun 26, 2018 (3 updates tracked since 2018).

About Geoffrey R Bodeau M.d. NPPES

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

GEOFFREY R BODEAU M.D. (NPI 1770534372) is an individual nuclear radiology provider in Edina, Minnesota, licensed in Minnesota (29842) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770534372
Entity TypeIndividualMale
Primary Taxonomy2085N0904X
Provider Legal NameGEOFFREY R BODEAUCredential: M.D.
Location Address6608 KENNEY PLEdina, MN 55439-1427
Mailing Address6608 Kenney PlEdina, MN 55439-1427 · (952) 947-9445
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 19, 20233 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
NPI 1770534372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0904X
License Licensed in MN · 29842
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
6608 KENNEY PL, Edina, MN 55439

Other Identifiers 13

Other4T045BOMN · Blue Cross
OtherHP12925MN · Healthpartners
Other108789MN · Ucare
Medicaid0533448IA
Other300046433WI · Railroad Medicare Wi
Other22825MN · America's Ppo
Medicaid32385300WI
Other47Q34BOMN · Blue Cross
OtherP00126385MN · Railroad Medciare Mn
Other232903MN · Midlands Choice Inc
Medicaid794265600MN
Other1006999MN · Preferred One
Other9253416MN · Dakota Care

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Geoffrey R Bodeau M.d. 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.

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 Geoffrey Bodeau's NPI number?

The NPI number for Geoffrey Bodeau is 1770534372. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Geoffrey Bodeau located?

Geoffrey Bodeau practices at 6608 Kenney Pl, Edina, MN 55439. The listed phone number is (952) 947-9445.

What is Geoffrey Bodeau's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Is Geoffrey Bodeau enrolled in Medicare?

Yes. Geoffrey Bodeau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Geoffrey Bodeau was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.