BLAKE M. BODENDORFER M.D. – NPI #1083000905
Orthopaedic Surgery
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
BLAKE BODENDORFER is an orthopaedic surgeon located in COUNCIL BLUFFS, IA. NPPES has assigned the NPI number 1083000905 to BLAKE BODENDORFER on April 07, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207XX0005X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Sports Medicine
The NPI profile was previously updated about 5 years ago on Aug 02, 2021. 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 BLAKE BODENDORFER below.
NPI Profile for
BLAKE M. BODENDORFER
(more than 11 years ago)
COUNCIL BLUFFS, IA 51503-4619 Phone: (712) 323-5333 Fax:
CHICAGO, IL 60612-4861 Phone: (312) 432-2351 Fax: (708) 409-5179
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
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 |
|---|---|---|
| 207XX0005X - Orthopaedic Surgery / Sports Medicine (Primary) |
IL | 036152051 |
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.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
BLAKE BODENDORFER is affiliated with the following medical group(s):
- HOSPITAL
- CASS COUNTY MEMORIAL HOSPITAL1501 EAST TENTH STREET
ATLANTIC, IA 50022 - CHI HEALTH MERCY COUNCIL BLUFFS800 MERCY DRIVE
COUNCIL BLUFFS, IA 51503 - CLARINDA REGIONAL HEALTH CENTER220 ESSIE DAVISON DRIVE
CLARINDA, IA 51632 - METHODIST JENNIE EDMUNDSON933 EAST PIERCE STREET
COUNCIL BLUFFS, IA 51503 - MYRTUE MEDICAL CENTER1213 GARFIELD AVENUE
HARLAN, IA 51537
- CASS COUNTY MEMORIAL HOSPITAL1501 EAST TENTH STREET
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