DR. EDWARD JAMES BODMER DPM
NPI 1801882006
Podiatrist in Gold Canyon, AZ

Active since September 22, 2005
9765 E DEAD SURE PL, GOLD CANYON, AZ 85218(480) 363-3066(480) 983-8153 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edward James Bodmer Dpm NPPES

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

DR. EDWARD JAMES BODMER DPM (NPI 1801882006) is an individual podiatrist in Gold Canyon, Arizona, licensed in Arizona (0152) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1801882006
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. EDWARD JAMES BODMERCredential: DPM
Location Address9765 E DEAD SURE PLGold Canyon, AZ 85218-7176
Mailing Address6499 S Kings Ranch Rd, Ste 6Gold Canyon, AZ 85118-2920 · (480) 982-8137 · Fax (480) 983-8153
Fax(480) 983-8153
Sole ProprietorYes
Enumeration DateSeptember 22, 2005
Last NPPES UpdateApril 19, 2018
NPI 1801882006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in AZ · 0152
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
9765 E DEAD SURE PL, Gold Canyon, AZ 85218

Other Identifiers 1

Other118594AZ · Medicare Group

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Health Service)
9765 E DEAD SURE PL
GOLD CANYON, AZ 85218

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 Edward Bodmer's NPI number?

The NPI number for Edward Bodmer is 1801882006. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Edward Bodmer located?

Edward Bodmer practices at 9765 E Dead Sure Pl, Gold Canyon, AZ 85218. The listed phone number is (480) 363-3066.

What is Edward Bodmer's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Edward Bodmer was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.