1. Home
  2. Directory
  3. Colorado
  4. Springs
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. BEVERLY A BODMAN PA-C
NPI 1912984162
Physician Assistant in Colorado Springs, CO

Active since December 29, 2005
2840 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910(719) 630-6440(719) 228-6609 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Beverly A Bodman Pa-c NPPES

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

MS. BEVERLY A BODMAN PA-C (NPI 1912984162) is an individual physician assistant in Colorado Springs, Colorado, licensed in Colorado (1164) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1912984162
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. BEVERLY A BODMANCredential: PA-C
Location Address2840 INTERNATIONAL CIRColorado Springs, CO 80910-3127
Mailing Address340 Printers PkwyColorado Springs, CO 80910-3190 · (719) 630-6440 · Fax (719) 228-6609
Phone(719) 630-6440
Fax(719) 228-6609
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1912984162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · 1164
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2840 INTERNATIONAL CIR, Colorado Springs, CO 80910
Open in Google Maps ↗

Other Identifiers 1

Medicaid08372764CO

Other Providers at the Same Location NPPES 4

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

MS. LYNNETTE GROEGER PA-C
Physician Assistant
2840 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 640-6440
EVAN NEUFELD LPC
Counselor (Professional)
2840 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 314-3770
MS. PAMELA SUE BOWER RPH.
Pharmacist
2840 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 630-6464
PAUL M REILLY RPH.
Pharmacist
2840 INTERNATIONAL CIR
COLORADO SPRINGS, CO 80910
El Paso County (719) 630-6464

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 Beverly Bodman's NPI number?

The NPI number for Beverly Bodman is 1912984162. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Beverly Bodman located?

Beverly Bodman practices at 2840 International Cir, Colorado Springs, CO 80910. The listed phone number is (719) 630-6440.

What is Beverly Bodman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Beverly Bodman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.