GARY E. BODENHAUSEN M.D. – NPI #1376536458
Family Medicine

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 is not limited by age, sex, organ system, or disease entity.

GARY BODENHAUSEN is a physician located in BLUE SPRINGS, MO. NPPES has assigned the NPI number 1376536458 to GARY BODENHAUSEN on August 24, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 15 years ago on Dec 05, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GARY BODENHAUSEN below.

NPI Profile for
GARY E. BODENHAUSEN

NPI Number
1376536458
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GARY E. BODENHAUSEN
Credentials
M.D.
Primary location
104 NO. 7 HIGHWAY
STE B
BLUE SPRINGS, MO 64014
Phone: (816) 229-8880 Fax: (816) 229-4363
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for GARY BODENHAUSEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNAMO1023793
OTHERBC/BSMO06616078
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MO MDR6442

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.