IndividualActive
Bradley Bodner, PA-C
NPI 1093767808 · Surgical Physician Assistant · Wausau, WI
Provider details
- NPI number
- 1093767808
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 1312-023 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2800 Westhill Dr
Suite 200
Wausau, WI 54401-3771
Phone: (715) 843-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2800 Westhill Drive
Wausau, WI 54402-3770
Additional practice locations (1)
- 1000 N Oak AveMarshfield, WI 54449-5703Phone: (715) 387-5511
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.