Johnathan Bodjack, BA
NPI 1528494762 · Other Technician · Portage, MI
Johnathan Bodjack, BA is a Other Technician provider in Portage, MI (NPI 1528494762).
Provider details
- NPI number
- 1528494762
- Entity type
- Individual
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Credential
- BA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-19
- Last updated
- 2013-09-19
Frequently asked questions
- What is Johnathan Bodjack's NPI number?
- Johnathan Bodjack's National Provider Identifier (NPI) is 1528494762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnathan Bodjack's specialty?
- Johnathan Bodjack is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).
- Where is Johnathan Bodjack located?
- Johnathan Bodjack's practice location on file with NPPES is 9616 Portage Rd, Portage, MI 49002-7257.
- What is Johnathan Bodjack's phone number?
- The practice phone number listed in the NPPES registry for Johnathan Bodjack is (269) 250-8200.
- Is Johnathan Bodjack's NPI active?
- Yes — Johnathan Bodjack's NPI (1528494762) is active in the NPPES registry as of the last update on 2013-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.