IndividualActive
Brandon Bodager, M.D.
NPI 1811263304 · Diagnostic Radiology Physician · Mequon, WI
Provider details
- NPI number
- 1811263304
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 61321 (WI)
Practice location
10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Phone: (262) 292-3151
Mailing address
10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Registry dates
- Enumerated
- 2012-03-28
- Last updated
- 2025-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.