Kirk Jon Bodach in South Bend - Family Medicine
Kirk Jon Bodach - NPI 1306044003
Kirk Jon Bodach is a Family Medicine in South Bend, Indiana. Kirk Jon Bodach practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kirk Jon Bodach is 1306044003. The last update date is 2021-03-30.
Kirk Jon Bodach's current location address is 615 N Michigan St Fl 1, South Bend, Indiana. You can contact this provider via phone number 5746473050 and fax number 5746471094. The mailing address for Kirk Jon Bodach is 615 N Michigan St Fl 1, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk Jon Bodach |
|---|---|
| Address | 615 N Michigan St Fl 1, South Bend, Indiana |
| Phone Number | 5746473050 |
| Fax Number | 5746471094 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306044003 |
|---|---|
| Provider Enumeration Date | 2007-07-05 |
| Last Updated Date | 2021-03-30 |
Provider Mailing Address Detail
| Address | 615 N Michigan St Fl 1 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466011033 |
| Phone Number | 5746473050 |
| Fax Number | 5746471094 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01065817A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M400050759 | IN | MEDICARE PTAN | |
| P01050896 | IN | RR MEDICARE | |
| 200986910 | IN | -- | |
| 720320 | IN | BCBS MEMORIAL HOSPITALIST GROU |
Post Comment/ Review Below
What is the unique identification code assigned to Kirk Jon Bodach by the Centers for Medicare & Medicaid Services?
The Kirk Jon Bodach has been issued the NPI (National Provider Identifier) 1306044003. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kirk Jon Bodach located?
The Kirk Jon Bodach is located at 615 N Michigan St Fl 1, South Bend, IN 466011033.
What is Kirk Jon Bodach's area of expertise and its corresponding taxonomy classification?
The Kirk Jon Bodach's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Kirk Jon Bodach receive its 1306044003 assignment from the Centers for Medicare & Medicaid Services?
The Kirk Jon Bodach was assigned its 1306044003 on 2007-07-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kirk Jon Bodach most recently updated?
The details pertaining to the Kirk Jon Bodach, including its address, specialty, and other relevant information, were last refreshed on 2021-03-30.