Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY T BODNER, PA-C
ActiveBRADLEY T BODNER, PA-C is a Surgical Physician Assistant healthcare provider located in WAUSAU, Wisconsin. NPI 1093767808 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WAUSAU, WI
Registration Details
- NPI Number
- 1093767808
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 17, 2006 (20.211825908452 yrs)
- Last Updated
- Dec 15, 2021
- License
-
1312-023 (WI)
Practice Information
- Address
-
2800 WESTHILL DRSUITE 200WAUSAU, WI, 544013771Browse WI providers · Browse ZIP 54401
- Phone
- 7158431000
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in WAUSAU, WI
| Name | Credential | NPI |
|---|---|---|
| MR. JEFFREY TERRENCE AMBORD | PA-C | 1942292396 |
| ROBERT E KOLLPAINTER | PA-C | 1144249210 |
| KIMBERLY MARIE KUPHAL | PA | 1922536218 |
| ELLEN A HUMBERSTON | PA-C | 1952961633 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.