IndividualActive
Jeffrey Bodner, MD
NPI 1770043267 · Pediatric Radiology Physician · Phoenix, AZ
Provider details
- NPI number
- 1770043267
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 76000 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone: (602) 933-1000
Approximate (ZIP-level) locationGet directions
Mailing address
12 Brittany Way Ne
Atlanta, GA 30324-2962
Registry dates
- Enumerated
- 2019-03-21
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.