Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW S BODNER, MD
Active Sole ProprietorAnesthesiology · TALLASSEE, AL
Registration Details
- NPI Number
- 1164449674
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (19.762969737457 yrs)
- Last Updated
- Sep 20, 2007
- Licenses
-
R5J60 (MO)10657 (AL)50121-20 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 GILMER PKWYSUITE 1TALLASSEE, AL, 360781215Browse AL providers · Browse ZIP 36078
- Phone
- 3347314500
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Anesthesiology
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.