BODAVULA PEDIATRICS PLLC – NPI #1366008294
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

BODAVULA PEDIATRICS PLLC is a provider located in GARLAND, TX. NPPES has assigned the NPI number 1366008294 to BODAVULA PEDIATRICS PLLC on May 16, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Sep 20, 2025. 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 BODAVULA PEDIATRICS PLLC below.

NPI Profile for
BODAVULA PEDIATRICS PLLC

NPI Number
1366008294
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BODAVULA PEDIATRICS PLLC
Primary location
6448 BROADWAY BLVD
GARLAND, TX 75043-7504
Phone: (972) 216-8500 Fax: (972) 216-8521
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PHANI BODAVULA
OWNER
Phone: (314) 620-5823
Updated
Certification Date
Sep 20, 2025

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.

Identifiers

Identifiers for BODAVULA PEDIATRICS PLLC

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
otherTEXAS PAYER NOTX32070567899
medicaidTX32070567899
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
208000000X
- Pediatrics (Primary)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
EMAIL ADDRESS
Content Type
OTHER
Affiliation
N
Endpoint Location
4925 MARCUS AVE APT 3114,
ADDISON, TX 77025-1669