Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FRED S BODKER, MD
ActiveFRED S BODKER, MD is a 207WX0200X healthcare provider located in OVERLAND PARK, Kansas. NPI 1417944208 is currently active in the NPPES registry. Verify at CMS.
207WX0200X · OVERLAND PARK, KS
Registration Details
- NPI Number
- 1417944208
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2005 (20.668729651709 yrs)
- Last Updated
- Feb 3, 2025
- License
-
04-25774 (KS)
Practice Information
- Address
-
7504 ANTIOCH RDOVERLAND PARK, KS, 662042622Browse KS providers · Browse ZIP 66204
- Phone
- 9133413100
- Fax
- 9133416818
- Primary Specialty
-
207WX0200X
207WX0200X
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.